In emergency departments across Pakistan, the failure to provide time critical, safe blood transfusion to a patient is mainly because of the lack of understanding to prepare beforehand, for such an anticipated transfusion. It is also unfortunate that the onus of arranging blood is on the relatives of the trauma patient, who are already in state of shock and in denial because of an unexpected tragedy. Conversely, the concept of massive transfusion protocol has already been established in the developed countries to support the patient in that critical stage. Few, if any, hospitals in Pakistan are utilizing the concept the massive transfusion protocols for the emergency patients. Implementing it would be a systems improvement, where it would not only help in saving lives but also streamlining the process. It will communicate the urgency across the board with which the transfusion process needs to be done.
Key words: Massive transfusion protocol; blood products; Emergency transfusion
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