Major haemorrhage in rural Australia: time for a novel solution to a unique problem?

Stuart A Gillon and Cem R Kibar
Med J Aust 2012; 196 (4): . || doi: 10.5694/mja11.11244
Published online: 5 March 2012

To the Editor: The past decade has seen significant change in the management of major haemorrhage, including earlier and more aggressive use of fresh frozen plasma (FFP). Australian guidelines now advocate high ratios of FFP to packed red blood cells (PRBC) from the outset of resuscitation.1 Preparation of one unit of FFP for every two units of PRBC is recommended. This approach is supported by a recent meta-analysis demonstrating a reduction in organ failure and mortality with high FFP : PRBC ratios.2

  • Stuart A Gillon
  • Cem R Kibar

  • Royal Flying Doctor Service (Western Operations), Perth, WA.



We acknowledge the assistance of the haematology specialists of the Australian Red Cross and Perth tertiary hospitals, including Dr Nicole Staples.

Competing interests:

No relevant disclosures.


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