OCTOBER 2025
EDITION 40
Updated Massive Transfusion Protocol (MTP): What You Need to Know
The Massive Transfusion Protocol (MTP) has been updated district-wide following extensive consultation and experience in managing critically bleeding patients. These changes aim to improve patient outcomes and reinforce the importance of clear clinical communication at this critical stage of care.
Key Changes: 1. Activation Process Dial 2222 and request: “Activate an MTP”. Switchboard will ask for: Patient size (Adult / Paediatric / Neonate) Location (Ward and Bed Number)
Contact details, name, and designation for the Blood Coordinator In non-critical care areas, activate a Code Blue before MTP.
2. Introduction of the Blood Coordinator A clinician (nurse, midwife, or doctor) allocated by the treating doctor. Acts as the key link between the clinical team and the Transfusion Laboratory (Blood Bank). Communicates patient movement within the hospital facility to the Blood Bank. 3. Blood Product Packs This is for the purpose of providing component therapy that reflects the closest representation of ‘whole blood’. Pack 1 : 3 Units RBC, 3 Units FFP or Extended Life Plasma, 10 Units Cryoprecipitate Pack 2: 3 Units RBC, 3 Units FFP or Extended Life Plasma, 1 Unit Platelets A Haematology referral should be made after the receipt of Pack 2. 4. “Stand Down” Communication When it’s time to stop the continual provision of Pack 1 and Pack 2, the Blood Coordinator will dial 2222 and request: “MTP Stand Down”. These updates are designed to support clinical teams and the Transfusion Laboratory in delivering timely, coordinated care for patients experiencing massive bleeding. For further information, visit the NSLHD Blood Management Portal: Critical Bleeding intranet page Contact for inquiries: Alexandra.Cook@health.nsw.gov.au (Patient Blood Management CNC RNSH)
Blood Management Standard
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