The 2023 – 2024 Trauma Webinar Series: Massive Transfusion in Traumatically Injured Adults and Children



Date & Location
Thursday, December 7, 2023, 9:00 AM - Monday, December 7, 2026, 10:00 AM

Credits
ANCC Nursing Contact Hours (0.75 hours), General Attendance (0.75 hours)

Overview

The need for massive transfusion can occur in patients of any age and may result from traumatic injury. Use of a ratio-based approach is helpful early in the process before laboratory testing becomes available. Available options for laboratory testing include rapid conventional coagulation testing and thromboelastography. Once reliable laboratory data becomes available, the resuscitation can be tailored to a laboratory-guided approach that provides components the patient needs while preventing unnecessary transfusions. In this session, attendees will learn how to recognize massive transfusion and provide evidence-based care for adults and children who require this support. 

Presenter
Nancy M. Dunbar, MD

About our Presenter
Staff Physician, Clinical Pathology; Medical Director, Blood Bank, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire

Learning Outcome
At the conclusion of this learning activity, (at least 75% of) participants will be able to discuss best practice in the care of patients in need of massive transfusion due to trauma. 

Disclosure
The planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for this activity have no relevant financial relationship(s)* with ineligible companies** to disclose. 

* A “financial relationship" includes employee, researcher (named as the PI), consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and/or an ownership interest (not including stocks owned in a managed portfolio).

** An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.


Accreditation

In support of improving patient care, Dartmouth Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

American Nurses Credentialing Center (ANCC)
Dartmouth Health designates this Enduring Material for a maximum of 0.75 ANCC contact hours.

All other learners may claim General participation credit. Consult your professional licensing board regarding the applicability and acceptance of general attendance credit for programs certified for credit by organizations accredited by Joint Accreditation for Interprofessional Education.

Registration/Requirements for Successful Completion
You may claim credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Click the Register tab above. If you are not logged into your account, you will need to log in. Use the Forgot Your Password? button if you need to reset your password.
  2. Register for the activity.
  3. Click the Content/Tests tab and then View Content to view the recording. View the entire presentation.
  4. Complete the Post-Test (attestation - return to the Content/Tests tab to find it).
  5. Click the Complete Evaluation button, or click My Account in the menu bar; then click Evaluations.
  6. Complete and Submit the Evaluation.

Bibliographic Sources

  • Yazer MH, Delaney M, Doughty H, Dunbar NM, Al-Riyami AZ, Triulzi DJ, Watchko JF, Wood EM, Yahalom V, Emery SP. It is time to reconsider the risks of transfusing RhD negative females of childbearing potential with RhD positive red blood cells in bleeding emergencies. Transfusion. 2019 Dec;59(12):3794-3799. doi: 10.1111/trf.15569. Epub 2019 Oct 18. PMID: 31625172.

  • Hess JR, Brohi K, Dutton RP, Hauser CJ, Holcomb JB, Kluger Y, Mackway-Jones K, Parr MJ, Rizoli SB, Yukioka T, Hoyt DB, Bouillon B. The coagulopathy of trauma: a review of mechanisms. J Trauma. 2008 Oct;65(4):748-54. doi: 10.1097/TA.0b013e3181877a9c. PMID: 18849786.

  • Brohi K, Singh J, Heron M, Coats T. Acute traumatic coagulopathy. J Trauma. 2003 Jun;54(6):1127-30. doi: 10.1097/01.TA.0000069184.82147.06. PMID: 12813333.

Provider Contact Information
Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
CE Office
Dartmouth Health
[email protected]