Packed red blood cells
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Search complete. 6 mentions across 5 episodes found for "Packed red blood cells".
Oct 30, 2026
Xin QiGUEST
So the classic teaching of one-to-one hasn't really changed in the recent years.
Xin QiGUEST
That came from the PROMET study, P-R-O-M-M-T-T, and the proper trial, the P-R-O-P-P-R, and the proper trial, the one-to-one-to-one versus one-to-one-to-two for plasma platelets and PRBC resuscitations.
Xin QiGUEST
And the examination was basically no better for one-to-one.
Xin QiGUEST
That hasn't really changed.
speaker_0HOST
But resuscitate these patients with blood products.
speaker_0HOST
If you're given more than a couple units of PRBCs, think about balanced transfusion and giving FFP and platelets as well.
speaker_0HOST
And then don't forget, if you're given kind of more than two-ish units of PRBCs, make sure you give some calcium as well.
speaker_0HOST
Do note that, as we said, this is a problem of high portal pressures.
speaker_0HOST
So as we fill up the tank, aka resuscitate these patients, it actually will increase their portal pressures.
Christopher PfingstenHOST
They're dumping in the one bag.
Christopher PfingstenHOST
The one bag of PCBs, of PRBCs goes in.
Christopher PfingstenHOST
They immediately spike the next one.
Christopher PfingstenHOST
Doesn't buy a check of blood pressure.
Paul HaserGUEST
But in this setting, bleeding should be assumed the cause of hypotension till proven otherwise.
Paul HaserGUEST
I would start by initiating transfusion of two units of uncrossed PRBCs.
Paul HaserGUEST
I would also have a low threshold to activate massive transfusion protocol, depending on their response to the two units.
Paul HaserGUEST
Finally, I, I think it's important to mention that although it's been reported as an isolated gunshot wound, it's extremely important to expose the patient and confirm there's no other injuries, especially to the back, groin, axilla, which are often frequently missed areas.
Blake TaylorGUEST
Um, eventually I was able to, to pack it and stop the bleeding.
Blake TaylorGUEST
Um, but she did require a, a few units of, uh, PRBCs interop.
Blake TaylorGUEST
Um, and, you know, she finally did well.
Blake TaylorGUEST
And the whole time I was thinking, "Oh gosh, this is what they tell you about on the boards and This is like right out of the board situation.