Emergency medicine journal : EMJ
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(1) To define blood product requirements in patients with trauma whose underlying injuries are consistent with major blood loss; (2) to use these data to estimate the annual number of patients in Scotland who sustain significant trauma and require substantial blood product replacement; and (3) to place these data in the context of recent findings concerning the efficacy of recombinant factor VIIa in patients with major trauma. ⋯ In summary, this study estimates that approximately 67 patients annually in Scotland, above the age of 13 years, require blood transfusion as a direct result of significant traumatic injury. Of these 67 patients, an estimated 35 patients (28 of whom had a blunt form of trauma) require > or =8 units of RCC during the first 24 h in hospital. On the basis of the current limited trial evidence, the potential benefit in using recombinant factor VIIa in such patients, in Scotland, is small-approximately seven patients per million population aged >13 years, per year.
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To survey the information provided to head-injured patients on discharge from emergency departments (EDs) in Scotland. ⋯ Head injury discharge advice should be standardised throughout EDs, with more emphasis given to postconcussion features.
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Letter Comparative Study
Differences in trauma team activation criteria used by hospitals in the South West Peninsula.
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Letter Clinical Trial
Technique for upgauging peripheral venous cannulae in volume resuscitation.