massive transfusion
Clinical teaching and practical ideas for your next study session.
Medical Education
Pediatric Hemorrhagic Shock: When 10 mL/kg PRBC Is Not Enough
In a child with suspected traumatic hemorrhage, 10 mL/kg of packed red blood cells may be a reasonable initial dose—but ongoing bleeding may call for a pediatric massive-transfusion pathway, not repeated RBC-only boluses.
Study Tips
Amniotic Fluid Embolism: The 65/35 Shock Sequence
When hypotension persists after an initial crystalloid bolus in suspected amniotic fluid embolism, a strong SAQ answer shows parallel pressure support, RV assessment, and hemorrhage control—not another blind fluid bolus.