hypocalcemia is common abnormality after massive transfusion
- related: Hematology, massive transfusion protocol
- tags: #hemeonc
- blood products have citrate preservative that binds to endogenous calcium after transfusion, leading to hypocalcemia
- hypocalcemia can cause coagulopathy
- don't wait for hypocalcemia on labs. Aim for mildly elevated calcium levels in massive transfusion
- factor 4 deficiency
- ibcc massive transfusion protocol