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Anesthesia and analgesia · Apr 2022
ReviewPro-Con Debate: Prehospital Blood Transfusion-Should It Be Adopted for Civilian Trauma?
- Roman Dudaryk, Catherine Heim, Kurt Ruetzler, and Evan G Pivalizza.
- From the Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Health System, Miami, Florida.
- Anesth. Analg. 2022 Apr 1; 134 (4): 678682678-682.
AbstractExsanguination is the leading cause of death in severely injured patients; nevertheless, prehospital blood transfusion (PHT) remains a controversial topic. Here, we review the pros and cons of PHT, which is now routine in treatment of military trauma patients in the civilian setting. While PHT may improve survival in those who suffer blunt injury or require prolonged transport from the site of injury, PHT for civilian trauma generally is not supported by high-quality evidence. This article was originally presented as a pro-con debate at the 2020 meeting of the European Society of Anesthesiology and Intensive Care.Copyright © 2022 International Anesthesia Research Society.
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