Blood Product Administration - Blood Products

Question 1

What are the 2 Paramedic indications for blood product administration per the MDSO?

Answer 1

1. MAP <65 due to hemorrhagic shock with active, ongoing and significant bleeding
2. Hemoglobin <70 g/L with evidence of circulatory compromise

Question 2

What is the ratio of PRBC to FFP as per the blood product administration MDSO?

Answer 2

1-2 U PRBC to maintain MAP >65 or Hgb >70

2 U FFP for every 2 U PRBC delivered

Question 3

If immediate PRBCs are required for an unstable patient which blood type should be requested?

Answer 3

Type O (type O Negative for women of child bearing years)