Massive Transfusion Problem Solving Questions

A 30-year-old female construction worker fell 40 feet from scaffolding while welding a beam. She had apparent internal bleeding and a cervical spine fracture.

Blood Type: AB-negative (historical results on file x2 live births)

Order: 4 units of emergency release RBCs STAT; have 4 units on hold at all times.

Blood specimen is on the way to the Transfusion Services from the Trauma Room. The available reserve red blood cell inventory is:

AB-positive – 4

O-negative – 4

O-positive – 6

B-negative – 3

A-positive – 8

A-negative – 3

The nearest donor center is 50 miles away.