[Treatment of uncontrollable, life-threatening hemorrhage].

Ugeskrift for laeger · Jun 2005

Case Reports

[Treatment of uncontrollable, life-threatening hemorrhage].

A severely injured patient was treated for uncontrollable, life-threatening haemorrhage according to a new standardised algorithm at Rigshospitalet, Copenhagen University Hospital. Despite aggressive surgical treatment, the diffuse bleeding continued and treatment with an ''emergency transfusion package'' (5 units of red blood cells plus 5 units of fresh-frozen plasma plus 2 units of platelets) with a subsequent infusion of fibrinogen plus a single dose of 100 microg/kg recombinant factor VIIa was initiated. Haemostasis was achieved, and the patient recovered with a good clinical outcome.

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- Jakob Stensballe, Stefan Lethagen, and Pär Ingemar Johansson.
- Anaestesi- og operationsklinikken 4231/TraumeCentret, H:S Rigshospitalet, DK-2100 København Ø. jakob.stensballe@rh.hosp.dk
- Ugeskr. Laeg. 2005 Jun 20;167(25-31):2789-90.
AbstractA severely injured patient was treated for uncontrollable, life-threatening haemorrhage according to a new standardised algorithm at Rigshospitalet, Copenhagen University Hospital. Despite aggressive surgical treatment, the diffuse bleeding continued and treatment with an ''emergency transfusion package'' (5 units of red blood cells plus 5 units of fresh-frozen plasma plus 2 units of platelets) with a subsequent infusion of fibrinogen plus a single dose of 100 microg/kg recombinant factor VIIa was initiated. Haemostasis was achieved, and the patient recovered with a good clinical outcome.

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