Rotational thromboelastometry significantly optimizes transfusion practices for damage control resuscitation in combat casualties
نویسندگان
چکیده
منابع مشابه
Transfusion-associated microchimerism in combat casualties.
BACKGROUND Fresh whole blood (FrWB) is routinely used in the resuscitation of combat casualties in Operation Iraqi Freedom and Operation Enduring Freedom. However, studies have shown high rates (20%-40%) of transfusion-associated microchimerism (TA-MC) in civilian trauma patients receiving allogenic red blood cell (RBC) transfusions. We explored the incidence of TA-MC in combat casualties recei...
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This brief update reviews the recent literature available on fluid resuscitation from hemorrhagic shock and considers the applicability of this evidence for use in resuscitation of combat casualties in the combat casualty care (CCC) environment. A number of changes need to be incorporated in the CCC guidelines: (1) dried plasma (DP) is added as an option when other blood components or whole blo...
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BACKGROUND The effectiveness of damage-control resuscitation (DCR) has been demonstrated in recent US conflicts. Wartime casualties treated for hemorrhagic shock from vascular wounds were studied to report the 24-hour transfusion requirements, graft patency, and amputation-free survival for major vascular injuries. METHODS Joint Theater Trauma Registry data from August 2006 to April 2011 (56 ...
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Unique and expanded applications of staged operative management are undergoing careful evaluation in many civilian level I trauma centers under the rubric of damage control surgery. Recently there have been advocates for its broad application to the early management of critically injured combat casualties. However, the enormous logistic requirements for such strategies are contrary to the deman...
متن کاملWhat is the evidence of utility for intraosseous blood transfusion in damage-control resuscitation?
I (IO) access is an old technique for gaining entrance to the systemic circulation, which has received a general resurgence in the last 30 years. IO access takes advantage of the vascularity of cancellous bone, the spongy bone inside the hard outer compact bone. Cancellous bone is composed of a lattice work of spicules or trabeculae and hematopoietic red marrow, creating a porous framework. Cli...
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ژورنال
عنوان ژورنال: Journal of Trauma and Acute Care Surgery
سال: 2017
ISSN: 2163-0755
DOI: 10.1097/ta.0000000000001568