MHP 2.0 Symposium at Blue Mountain
Written by:
Troy Thompson & Stephanie Cope – Ontario Regional Blood Coordinating Network (ORBCoN)
The Blue Mountain Resort in Collingwood was chosen for ORBCoN’s annual symposium on March 26, 2025. The day focused on the release of the updated MHP recommendations – MHP 2.0 (find them here) and highlighted rural communities’ experience with the implementation and challenges of MHP 1.0.
We had 127 multi-disciplinary professionals (physicians, nurses, medical laboratory technologists and other allied health professionals) attend the symposium and we received overwhelmingly positive feedback.
From Left to Right. Co-chairs, Dr. Andrew Petrosoniak, Dr. Katerina Pavenski, ORBCoN Project Coordinator, Stephanie Cope at MHP 2.0 Symposium
The education symposium included a variety of MHP-related topics including presentations on:
• Major changes to MHP 1.0 recommendations
• MHP pediatric considerations
• Community/small hospital experience with MHP implementation
• MHP quality metrics portal and dashboard
• Pre-hospital experience and structured handover process (Ornge)
• Future considerations for inclusion in MHP
• Trauma in a community hospital simulation and debrief
The process for the MHP recommendation review consisted of a thorough evaluation of current evidence-based literature and a second modified Delphi exercise by a multi-disciplinary panel
of experts. After three iterative survey rounds, the panel achieved consensus on 44 statements. As a result, changes were made to 21 (version 1.0) recommendations; three recommendations were newly added and two (one original/one new) recommendations were removed.
Highlights of the changes include:
• Two-step activation to reduce over-activations and blood wastage;
• Fibrinogen replacement guided by laboratory evidence of hypofibrinogenemia or viscoelastic testing, not empirically;
• Structured handover between pre-hospital and hospital teams;
• Ionized calcium testing guidance;
• Restricted volume replacement strategy in the acute resuscitation phase of major hemorrhage without brain injury;
• Caution around empiric use of tranexamic acid (TXA) in gastrointestinal bleeding.
The symposium presentations generated many great questions and discussions. It also provided a forum for community hospital representatives to ask the expert panel pertinent questions regarding the proposed changes to the MHP recommendations relevant to their unique challenges and any other questions related to the care of massively bleeding patients.
Find the symposium’s archived presentations here
An evaluation survey was sent to all attendees after the symposium. As of April 4th, 98 responses have been received. Highlights of the evaluation survey are displayed below.
The MHP symposium was a highly successful event and we received very positive feedback regarding the event and the venue. The symposium provided an opportunity for attendees to network and to discuss any MHP related successes and challenges.
Thank-you to the chairs for their contributions, the speakers for their excellent presentations and to the attendees for their engagement and commitment to the MHP implementation process.
Further learning:
Trauma in a Community Hospital Simulation Video now available. Find it here.
Word Cloud Themes from MHP 2.0 Symposium Evaluation Comments