{"id":13621,"date":"2025-04-15T12:10:09","date_gmt":"2025-04-15T16:10:09","guid":{"rendered":"https:\/\/transfusionontario.org\/?p=13621"},"modified":"2025-09-30T10:19:40","modified_gmt":"2025-09-30T14:19:40","slug":"mhp-2-0-symposium-at-blue-mountain","status":"publish","type":"post","link":"https:\/\/transfusionontario.org\/en\/mhp-2-0-symposium-at-blue-mountain\/","title":{"rendered":"MHP 2.0 Symposium at Blue Mountain"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"355\" height=\"177\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image.png\" alt=\"\" class=\"wp-image-13622\" style=\"width:155px;height:auto\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image.png 355w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-300x150.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-150x75.png 150w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-110x55.png 110w\" sizes=\"auto, (max-width: 355px) 100vw, 355px\" \/><\/figure>\n\n\n\n<p><em>Written by: <\/em><\/p>\n\n\n\n<p><em>Troy Thompson &amp; Stephanie Cope &#8211; Ontario Regional Blood Coordinating Network (ORBCoN)<\/em><\/p>\n\n\n\n<p>The Blue Mountain Resort in Collingwood was chosen for ORBCoN\u2019s annual symposium on March 26, 2025. The day focused on the release of the updated MHP recommendations &#8211; MHP 2.0 (<a href=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2021\/10\/MHP-2.0_StatementsReferences_Final_March2025.pdf\" data-type=\"link\" data-id=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2021\/10\/MHP-2.0_StatementsReferences_Final_March2025.pdf\">find them here<\/a>) and highlighted rural communities\u2019 experience with the implementation and challenges of MHP 1.0.<br>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.<\/p>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:15% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"146\" height=\"170\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/mhp.jpg\" alt=\"\" class=\"wp-image-13628 size-full\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/mhp.jpg 146w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/mhp-129x150.jpg 129w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/mhp-94x110.jpg 94w\" sizes=\"auto, (max-width: 146px) 100vw, 146px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-small-font-size\"><em>From Left to Right. Co-chairs, Dr. Andrew Petrosoniak, Dr. Katerina Pavenski, ORBCoN Project Coordinator, Stephanie Cope at MHP 2.0 Symposium<\/em><\/p>\n<\/div><\/div>\n\n\n\n<p><br>The education symposium included a variety of MHP-related topics including presentations on:<br>\u2022 Major changes to MHP 1.0 recommendations<br>\u2022 MHP pediatric considerations<br>\u2022 Community\/small hospital experience with MHP implementation<br>\u2022 MHP quality metrics portal and dashboard<br>\u2022 Pre-hospital experience and structured handover process (Ornge)<br>\u2022 Future considerations for inclusion in MHP<br>\u2022 Trauma in a community hospital simulation and debrief<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>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<br>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.<\/p>\n\n\n\n<p>Highlights of the changes include:<br>\u2022 Two-step activation to reduce over-activations and blood wastage;<br>\u2022 Fibrinogen replacement guided by laboratory evidence of hypofibrinogenemia or viscoelastic testing, not empirically;<br>\u2022 Structured handover between pre-hospital and hospital teams;<br>\u2022 Ionized calcium testing guidance;<br>\u2022 Restricted volume replacement strategy in the acute resuscitation phase of major hemorrhage without brain injury;<br>\u2022 Caution around empiric use of tranexamic acid (TXA) in gastrointestinal bleeding.<\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p><br>Find the symposium\u2019s archived presentations <a href=\"https:\/\/transfusionontario.org\/en\/category\/orbcon-resources\/presentation-library\/massive-hemorrhage-protocol-presentations\/mhp-symposium-2025\/\" data-type=\"link\" data-id=\"https:\/\/transfusionontario.org\/en\/category\/orbcon-resources\/presentation-library\/massive-hemorrhage-protocol-presentations\/mhp-symposium-2025\/\">here<\/a><\/p>\n\n\n\n<p><br>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.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"752\" height=\"400\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-3.png\" alt=\"\" class=\"wp-image-13630\" style=\"width:490px;height:auto\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-3.png 752w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-3-300x160.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-3-150x80.png 150w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-3-110x59.png 110w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-3-600x319.png 600w\" sizes=\"auto, (max-width: 752px) 100vw, 752px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"752\" height=\"452\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-4.png\" alt=\"\" class=\"wp-image-13632\" style=\"width:495px;height:auto\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-4.png 752w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-4-300x180.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-4-150x90.png 150w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-4-110x66.png 110w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-4-600x361.png 600w\" sizes=\"auto, (max-width: 752px) 100vw, 752px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"752\" height=\"452\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-5.png\" alt=\"\" class=\"wp-image-13634\" style=\"width:493px;height:auto\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-5.png 752w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-5-300x180.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-5-150x90.png 150w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-5-110x66.png 110w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-5-600x361.png 600w\" sizes=\"auto, (max-width: 752px) 100vw, 752px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"752\" height=\"452\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-6.png\" alt=\"\" class=\"wp-image-13636\" style=\"width:491px;height:auto\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-6.png 752w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-6-300x180.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-6-150x90.png 150w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-6-110x66.png 110w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-6-600x361.png 600w\" sizes=\"auto, (max-width: 752px) 100vw, 752px\" \/><\/figure>\n\n\n\n<p>The MHP symposium was a highly successful event and we received very positive feedback regarding the event and the venue.&nbsp; The symposium provided an opportunity for attendees to network and to discuss any MHP related successes and challenges.&nbsp;<\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p>Further learning:<\/p>\n\n\n\n<p>Trauma in a Community Hospital Simulation Video now available. Find it <a href=\"https:\/\/transfusionontario.org\/en\/category\/massive-hemorrhage-protocol\/educational-elearning-modules\/\">here<\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"418\" height=\"418\" src=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-7.png\" alt=\"\" class=\"wp-image-13638\" style=\"width:214px;height:auto\" srcset=\"https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-7.png 418w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-7-300x300.png 300w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-7-150x150.png 150w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-7-110x110.png 110w, https:\/\/transfusionontario.org\/wp-content\/uploads\/2025\/04\/image-7-100x100.png 100w\" sizes=\"auto, (max-width: 418px) 100vw, 418px\" \/><\/figure>\n\n\n\n<p class=\"has-small-font-size\"><em>Word Cloud Themes from MHP 2.0 Symposium Evaluation Comments<\/em><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Written by: Troy Thompson &amp; Stephanie Cope &#8211; Ontario Regional Blood Coordinating Network (ORBCoN) The Blue Mountain Resort in Collingwood was chosen for ORBCoN\u2019s annual symposium on March 26, 2025. 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