Massive Transfusion Protocol (MTP) in the Operating Room

Duarte, CA US
March 30, 2023

As the number of surgeries City of Hope performs has increased, so has our need for resources needed for these patients.  This includes blood products.  While our blood bank is well known for using blood products efficiently, dispensing them in large quantities, is often a slow process. Here we seek to improve this by expanding knowledge on the advantages of MTPs and how to adopt this life-saving protocol into our policies and procedures at City of Hope. 

Massive transfusion protocols (MTP) are a staple of treatment for the patient bleeding acutely. The blood bank at City of Hope does not currently have an massive transfusion protocol in place.  As City of Hope has expanded its services, the department of anesthesiology has been caring for in increased number acutely ill and bleeding patients that often require large volumes of blood products. Our blood bank is often unable to meet our needs in a timely manner with the current methods.  Predefined MTPs are associated with improved coagulation profiles as well as a decrease in organ failure . Through this activity, we are seeking to improve knowledge for anesthesiologists and blood bank colleagues, as well as start the process for establishing these protocols. 

Target Audience

Anesthesiologists, surgeons, nurses and blood bank staff.

Learning Objectives

  • Examine what a massive transfusion protocol is.
  • Identify patients that are candidates for a massive transfusion protocol.
  • Assess potential side effects and adverse reactions when a massive transfusion is given.
  • Outline strategies to mitigate potential adverse reactions when massive transfusions are needed.
  • Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics).
Activity summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
    City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
    City of Hope designates this Massive Transfusion Protocol (MTP) in the Operating Room for a maximum of 1.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 1.00 Attendance
Activity opens: 
03/30/2023
Activity expires: 
03/31/2023
Event starts: 
03/30/2023 - 7:00am PDT
Event ends: 
03/30/2023 - 8:00am PDT
Add to calendar: 
City of Hope
1500 E Duarte Rd
Duarte, CA 91010
United States

Virtual Meeting- Zoom

Kenji Inaba, MD, FRCSC, FACS  Professor and Vice Chair of Surgery; Chief of Trauma and Surgical Critical Care; University of Southern California

Presenter: Dr. Inaba has indicated no relevant financial relationships. 

Planner: Evelyn Bonilla, MD has indicated no relevant financial relationships. 

This presentation and/or comments will provide a balanced, non-promotional, and evidence-based approach to all diagnostic, therapeutic and/or research related content. 

CME Committee/Reviewer Nothing to Disclose:  Daneng Li, MD

ACCREDITATION STATEMENT: City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CREDIT DESIGNATION: City of Hope designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

The following credit type(s) are being offered for this course:

•  AMA PRA Category 1 Credit™  1.0

The following may apply AMA PRA Category 1 Credit™ for license renewal:

Registered Nurses: Nurses may report up to 1.0 credit hours toward the continuing education requirements for license renewal by their state Board of Registered Nurses (BRN). AMA PRA Category 1 Credit™ may be noted on the license renewal application in lieu of a BRN provider number.

Physician Assistants: The National Commission on Certification of Physicians Assistants states that AMA PRA Category 1 Credit™ accredited courses are acceptable for CME requirements for recertification.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
    City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
    City of Hope designates this Massive Transfusion Protocol (MTP) in the Operating Room for a maximum of 1.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 1.00 Attendance
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