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Massive transfusion: a complex issue
  1. Laura Evans
  1. Correspondence to Dr Laura Evans, Emergency Department, Queen Elizabeth Hospital Gateshead, Queen Elizabeth Avenue, Gateshead NE9 6SX, UK; laurajevans{at}

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I must comment on the article by Milligan et al regarding massive transfusion in trauma.1 The authors state that ‘standardizing blood transfusion in major trauma to include automatic delivery of appropriate blood products at particular points in resuscitation may be of benefit’. They base this on their survey of 32 emergency medicine doctors to whom they asked questions apparently relating to the definition of massive transfusion (MT), ‘target’ laboratory values and blood product …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.