Invited Commentary to "Performance Improvement Program Review of Institutional Massive Transfusion Protocol Adherence: An Opportunity for Improvement".

The article focuses on a retrospective examination of trauma patients' compliance with balanced blood product guidelines, revealing a high rate of failure to achieve the desired ratio and a significant increase in inpatient mortality. It discusses the importance of balanced blood product resuscitation, the adoption of different resuscitation protocols in trauma centers, and the need for strategies to ensure timely delivery of blood products to improve patient outcomes.