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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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lunes, 12 de noviembre de 2018

Whole blood in the trauma bay

St. Emlyn´s - By Zaf Qasim - November 9, 2018
"One thing is clear from the military and civilian literature – hemorrhage kills1,2. Overall, 40-50,000 deaths per year in the US are preventable with appropriate hemorrhage control and resuscitation. The demographic of these victims is primarily young, healthy individuals who would otherwise have had the chance to live a productive life.
Resuscitation should address the components responsible for hemorrhagic shock – blood loss and systemic injury – while mitigating hemodilution. There has been a concerted push away from using clear fluids for initial resuscitation, with recent evidence pointing to the mortality benefit of using balanced ratios of packed red cells, plasma, and platelets in massive transfusion3.
The aim of balancing components is to approximate reconstituted whole blood – so why not just give whole blood?..."