Dilutional Thrombocytopenia
n thrombocytopenia is the most common
haemostatic abnormality during and after
massive transfusion
n microvascular bleeding eg oozing from
mucosa, wounds & puncture sites
n platelet count of 50 x 109/L during active
bleeding should be sufficient for normal
haemostasis provided platelet function intact.
count of 50 x 109/L  expected when red cell
concentrates equivalent to 2 blood volumes
transfused. However, marked individual
variation.