Patient Blood Management Guidelines: Module 1 Critical Bleeding/Massive Transfusion

The first in a series of six evidence-based guidelines was approved by the National Health and Medical Research Council (NHMRC) on 12 November 2010, and released on 1 March 2011.

Module 1 is intended to assist and guide health-care professionals in making clinical decisions when managing patients with critical bleeding who require or are likely to require massive transfusion.

Module 1 includes a Massive Transfusion Protocol (MTP) template that is designed to be adapted to meet local institutions’ patient population and resources.

The Critical Bleeding/Massive Transfusion module and accompanying resources can be accessed by clicking on the relevant links below.

College & Society Endorsements

The National Blood Authority greatly appreciates and acknowledges the input received from the clinical community in producing the Patient Blood Management Guidelines. We are pleased to acknowledge that the following organisations have formally endorsed Module 1 - Critical Bleeding/Massive Transfusion:

  • Australasian College for Emergency Medicine
  • Australasian Society for Emergency Medicine
  • Australian and New Zealand College of Anaesthetists
  • Australian and New Zealand Intensive Care Society
  • Australian Red Cross Blood Service
  • College of Intensive Care Medicine of Australia and New Zealand
  • Medical Oncology Group of Australia
  • Perinatal Society of Australia and New Zealand
  • Royal Australasian College of Surgeons
  • Royal Australian and New Zealand College of Obstetricians and Gynaecologists
  • Royal College of Nursing Australia
  • Royal College of Pathologists of Australasia

Pilot Project to Update Module 1

A pilot project has commenced to update the PBM guidelines. The aim of the pilot is to use the lessons learned from the review of Module 1 to update the remaining modules using more efficient and cost-effective methodologies.

For more information

To provide feedback and inform future reviews of this module, please send any comments on its content or implementation, or on the accompanying materials, to the project manager at:

  • Email guidelines [at] (subject: PBM%20Guidelines%20Enquiry)
  • Mail:
    Patient Blood Management Guidelines
    National Blood Authority
    Locked Bag 8430
    Canberra ACT 2601
  • Fax (02) 6151 5300