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The Massive Transfusion Protocol An Aide Memoire 1 • For every unit of Packed cells, you should aim to administer – Fresh Frozen Plasma one unit for each unit of packed cells • All clotting factors, including V & VIII – Platelets equivalent to that in a unit of whole blood • 1 pack of platelets is the pooled platelets of four donors – Fibrinogen equivalent to that in a unit of whole blood • Cryoprecipitate is rich in Fibrinogen (140 mg/60mls) 2 3 4 5 6 7 8 Consultant in Charge 9 10 Blood tests take time, Clotting, biochemistry tests take about 15-30 minutes. 11 Other Considerations 12 Additional Components 13