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  1. Berg, Gina M. PhD
  2. Sook, Cynthia MSN, RN
  3. Valdez, Miguel RN
  4. Moran, David PharmD, BCPS
  5. Spaeth, Denise MSN, RN


This case study describes an event that transformed and solidified the trauma team at a level I facility in the Midwest. Administration of a newly created massive blood transfusion protocol on a severely injured trauma patient, implemented outside the normal confines of the trauma bay, is presented. The lesson brought home to us as a trauma team was the value of clearly defined evidence-based protocols, an experienced multidisciplinary trauma team, and effective communication to successful implementation.