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Background Exsanguination and coagulopathy remain one of the leading causes of preventable trauma related death [1]. Low ionised calcium levels have been associated with hypotension and increased mortality [2]. Blood product contains citrate that acts as a calcium chelating agent. We hypothesized that trauma patients are at risk of hypocalcaemia and blood products given to resuscitate them would reduce serum Calcium concentration, and therefore affect 30-day mortality.

scandinavian journal of trauma, resuscitation and emergency medicine

A retrospective cohort analysis of ionised calcium levels in major trauma patients who have received early blood product transfusion in the Emergency Department