UMEM Educational Pearls

Title: Empiric Cryopercipitate for your MHP?

Category: Trauma

Keywords: Cryopercipitate, mass transfusion hemorrhage (PubMed Search)

Posted: 10/27/2024 by Robert Flint, MD (Updated: 11/22/2024)
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There is uncertainty if adding cryopercipitate empirically to all mass hemorrhage protocols has any benefit to mortality, need for transfusion, or any other meaningful outcome. This small study suggests it does not and that we should save the addition of cryopercipitate to those with lab proven low fibrinogen levels.  

References

Empiric Cryoprecipitate Transfusion in Patients with Severe Hemorrhage: Results from the US Experience in the International CRYOSTAT-2 Trial

Van Gent, Jan-Michael DO, FACS; Kaminski, Carter W DO; Praestholm, Caroline BS; Pivalizza, Evan G MD; Clements, Thomas W MD; Kao, Lillian S MD, MS, FACS; Stanworth, Simon MD; Brohi, Karim MD; Cotton, Bryan A MD, MPH, FACS

Journal of the American College of Surgeons 238(4):p 636-643, April 2024. | DOI: 10.1097/XCS.0000000000000938