7 Key Parts (7 Ts) of The Massive Hemorrhage Protocol

By: Dr. Jeannie Callum, Dr. Andrew Petrosoniak, +1 Others Prepared: Feb. 14, 2025

Overview

The massive hemorrhage protocol (MHP) is a clinical pathway that brings together the right patient, right team, and right interventions at the right time points. MHP has been shown to improve patient outcomes and must incorporate the best available evidence and practices. The components of MHP are best summarized in terms of 7 Ts: trigger, team, tranexamic acid, testing, transfusion, temperature, and termination.

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