Sample massive transfusion algorithm

Reproduced with permission. Accessed on February 19, 2013. Copyright © Evidence-Based Outcomes Center, 2013. Quality and Outcomes Center, Texas Children's Hospital. This guideline was prepared by the Evidence-Based Outcomes Center (EBOC) team in collaboration with content experts at Texas Children's Hospital Pavilion for Women. Development of this guideline supports the TCH Quality and Patient Safety Program initiative to promote clinical guidelines and outcomes that build a culture of quality and safety within the organization. Guideline recommendations are made from the best evidence, clinical expertise and consensus, in addition to thoughtful consideration for the patients and families cared for within the Integrated Delivery System. When evidence was lacking or inconclusive, content experts made consensus recommendations. Expert consensus is implied when a reference is not otherwise indicated. The guideline is not intended to impose standards of care preventing selective variation in practice that is necessary to meet the unique needs of individual patients. The physician must consider each patient and family's circumstance to make the ultimate judgment regarding best care.