Evidence-based Clinical Care: Massive Transfusion Guidelines

This online course helps caregivers manage patients requiring massive transfusions, deliver timely blood component therapy and enhance interdepartmental communication during cases of massive hemorrhage.  This a result of system-wide collaborative efforts to develop guidelines that enable healthcare professionals to more easily identify patients requiring massive transfusion, facilitate a timely and coordinated response and provide key resources to the clinical teams. The goal of the Massive Transfusion Guidelines is to stop bleeding and restore circulating blood volume as soon as possible. 

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Original Release Date: June 2019
Review Date: June 2022

Target Audience

Cardiologists, Emergency Medicine Physicians, Code Rescue Team Members, Anesthesiologists, Surgeons, Obstetricians/Gynecologists, Nurse Practitioners, Respiratory Therapists, Physician Assistants, Pharmacists, Nurses and Laboratory Personnel.

Learning Objectives

  • Delineate the three hemorrhage levels and clinicians' roles at each level. 
  • Recognize the roles of those involved in a level 3 massive hemorrhage. 
  • Implement timely interventions in patients with massive hemorrhage. 
Additional information
Bibliography: 
  • Holcomb JB, del Junco D, Fox E, et al The prospective, observational, multicenter major trauma transfusion (PROMMTT) study: comparative effectiveness of a time-varying treatment with competing risks. Arch Surg 2012 Oct 15:1-10. doi
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial. 

Course Summary
Available credit: 
  • 1.25 ABA MOCA II
  • 1.25 ABIM MOC II
  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 General certificate of attendance
  • 1.00 Florida Board of Laboratory Personnel
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.25 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy
Course opens: 
06/01/2019
Course expires: 
05/31/2023

Maria Victoria Lopez-Beecham, M.D. 
Team Lead, Massive Transfusion Guidelines, Accelerated Change Team
Ob/Gyn 
Baptist Hospital 

Kevin Kueser, M.D. 
Team Lead, Massive Transfusion Guidelines, Accelerated Change Team
Anesthesiologist 
Baptist Hospital  

Maria Victoria Lopez-Beecham, M.D., and Kevin Kueser, M.D., faculty of this educational activity, have no relevant financial relationships with ineligible companies* to disclose and have indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*. 

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.25 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. 

This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Available Credit

  • 1.25 ABA MOCA II
  • 1.25 ABIM MOC II
  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 General certificate of attendance
  • 1.00 Florida Board of Laboratory Personnel
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.25 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy
Please login or register for a Baptist Health CME account to take this course.

NOTE: Maintenance of Certification (MOC) points will be automatically reported to the ABIM. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Required Hardware/Software

PC/Mac Users
PC/Mac Users

This site is supported on the most recent stable releases of the following browsers:

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Google Chrome
Microsoft Edge
Microsoft Edge
Safari
Safari
Moxilla Firefox
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Internet Explorer

Attention: Internet Explorer Users
This site offers limited support for Internet Explorer 11 (IE11). When using IE11, you will be prompted to download course videos instead of viewing them in the browser. After the course video downloads, the recordings will play.

Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.