527 Impact of Liquid Plasma on Blood Product Waste in Trauma Patients

Introduction/Objective The management of massive hemorrhage in trauma patients is critical, and the choice of plasma product can significantly affect outcomes. This study evaluates the impact of liquid plasma on blood product waste compared to traditional fresh frozen plasma (FFP) in a Level One Trauma Center. Methods/Case Report A retrospective comparative analysis was conducted on 1,077 plasma units ordered for 258 trauma patients over two years. Year one data (before liquid plasma implementation) included 315 plasma units for 92 patients, while year two data (after implementation) included 762 plasma units for 166 patients. Statistical analyses were performed using SPSS to assess differences in plasma waste Results In Year One, 315 plasma units were ordered for 92 patients, resulting in a plasma waste rate of 45%, equating to 142 units wasted. In Year Two, 762 plasma units were ordered for 166 patients, with waste reduced to 25%, or 191 units wasted (p < 0.01). The total volume of plasma transfused increased from 173 liters in Year One to 380 liters in Year Two, indicating a significant improvement in resource utilization. The study also noted that the average time from order to transfusion decreased from 60 minutes to 40 minutes, enhancing patient care. Conclusion The implementation of liquid plasma significantly reduces plasma waste in massive transfusion protocols, suggesting its efficacy in optimizing blood product management in trauma care. These findings advocate for the broader adoption of liquid plasma to improve efficiency and patient outcomes in emergency settings.