4. Blood should not be stored Trauma room refrigerator (policy LAB, B-02) except for the O negative units specified by the blood bank. 5. Unused blood should be returned to the Blood bank as soon as possible, within 30 minutes if not cooled. 6. Type Specific Blood and/or full crossmatched blood should be used as soon as it is available., Blood Product Administration I. Purpose: A. To outline a standard process for safe, rapid preparation, delivery, and administration of blood products for patients who experience massive hemorrhage. B. To provide guidance on the conservation of blood components while ensuring the safe and rapid administration of blood products. II. Definitions:, Background: Preemptive treatment of trauma-associated coagulopathy involves transfusion of fresh frozen plasma (FFP) at 1:1 ratio with red blood cells (RBCs), but the optimal ratio remains controversial. In combat theaters, fresh whole blood (FWB) is also an option., FFP fresh frozen plasma FUWB fresh (or ultra-fresh) unrefrigerated whole blood GAR Guidelines Assessment Register INR international normalised ratio JBC Jurisdictional Blood Committee MTP massive transfusion protocol NBA National Blood Authority NHMRC National Health and Medical Research Council NZBS New Zealand Blood Service OR odds ratio, Blood clotting is impaired because the transfused blood does not contain enough of the substances (clotting factors and platelets) that help blood clot. Thus, if doctors think people are likely to require a large volume of transfused blood, fresh frozen plasma and platelets are also transfused. Fresh frozen plasma contains clotting factors., .