Summary of Changes

01 Sep 2023 update: DEVICE data regarding video laryngoscope.

June 2023 update

05 Apr 2021 updates

    1. Use Whole Blood (WB) if available. FDA-approved cold stored WB is preferred over fresh WB (non-FDA approved).
    2. Initiate infusion of 2gmTranexamic Acid (TXA) IV/IO ASAP or within 3 hours of injury
    3. Carefully follow calcium concentration during massive transfusion. Consider giving empiric calcium if hypotensive
    4. Stronger evidence exists for use of vasopressin in hemorrhagic shock. Consider vasopressin bolus of 2-4 units followed by a vasopressin infusion (0.04 U/min) in cases of refractory shock.