• Prehosp Disaster Med · Oct 2015

    Helicopter In-flight Resuscitation with Freeze-dried Plasma of a Patient with a High-velocity Gunshot Wound to the Neck in Afghanistan - A Case Report.

    • Mikael Gellerfors, Joacim Linde, and Dan Gryth.
    • 1Karolinska Institutet/Södersjukhuset,Department of Clinical Science and Education,Section of Anesthesiology and Intensive Care,Stockholm,Sweden.
    • Prehosp Disaster Med. 2015 Oct 1; 30 (5): 509-11.

    AbstractMassive hemorrhage with coagulopathy is one of the leading causes of preventable death in the battlefield. The development of freeze-dried plasma (FDP) allows for early treatment with coagulation-optimizing resuscitation fluid in the prehospital setting. This report describes the first prehospital use of FDP in a patient with carotid artery injury due to a high-velocity gunshot wound (HVGSW) to the neck. It also describes in-flight constitution and administration of FDP in a Medevac Helicopter. Early administration of FDP may contribute to hemodynamic stabilization and reduction in trauma-induced coagulopathy and acidosis. However, large-scale studies are needed to define the prehospital use of FDP and other blood products.

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