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Massive blood transfusion protocols

By: Alysia D. Adams, DNP, APRN, AGACNP-BC, CCRN, NE-BC


  • Mass transfusion operates best under a protocol developed by a multidisciplinary team.
  • Using the ABC score can help rule out the need for massive transfusion.
  • Replace coagulation factors when a patient requires multiple units of transfused blood.  
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