Pediatric Trauma

Pediatric MTP

< 5 yo : 1 cycle is PRBC:FFP:PLT of 20:20:4 in ml/kg

5-11 yo: 1u rbc: 1u FFP -> 1 u rbc: 1 u FFP -> 1/2 pack plt

12 yo and up: 1u RBC: 1u FFP x 4 -> 1 pack plt

Cryo: 4 ml/kg if fibrinogen is low (<100)

Ca++ – Replace with every full blood volume replaced (e.g. every 80 ml/kg of product)

Mg++ – Also replace if prolonged transfusions