Whole blood use in trauma resuscitation: targeting prehospital

Curr Opin Anaesthesiol · Apr 2022

Review

Whole blood use in trauma resuscitation: targeting prehospital transfusion.

Trauma resuscitation management has evolved over the years with a more nuanced understanding of the injured patient's physiologic state of shock. The purpose of this review is to discuss the role of whole blood administration in the prehospital setting in the resuscitation of the trauma patient. ⋯ The timing of resuscitation and its components deserve special attention when improving outcomes for trauma patients requiring massive transfusion.

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- Govind Rangrass.
- Anesthesia and Critical Care, University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA.
- Curr Opin Anaesthesiol. 2022 Apr 1; 35 (2): 146149146-149.
Purpose Of ReviewTrauma resuscitation management has evolved over the years with a more nuanced understanding of the injured patient's physiologic state of shock. The purpose of this review is to discuss the role of whole blood administration in the prehospital setting in the resuscitation of the trauma patient.Recent FindingsIn traumatically injured patients, whole blood administration initiated in the prehospital setting may improve early shock severity, coagulopathy, and survival when used over traditional resuscitation fluids such as crystalloid administration or component therapy.SummaryThe timing of resuscitation and its components deserve special attention when improving outcomes for trauma patients requiring massive transfusion.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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Whole blood use in trauma resuscitation: targeting prehospital transfusion.

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