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Table 2 Laboratory considerations for urgent care patients with critical bleeding

From: Clinical review: Canadian National Advisory Committee on Blood and Blood Products - Massive Transfusion Consensus Conference 2011: report of the panel

• Commitment of the laboratory and hospital administration to re-engineer standard processes with special emphasis on rapid turnaround time of a few selected tests important in trauma-related critical bleeding.
• Streamlined sample labeling, test requisition, sample transport, and accessioning.
• Stat-spinners, whole-blood assays, reduced sample preparation times.
• Rapid analytical tests or use of in-laboratory point-of-care technology.
• Direct reporting of results to the patient care area and to the blood transfusion laboratory.
• Policies that allow early release of preliminary values that would otherwise require reverification or duplicate runs if tested under less urgent conditions.