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How do we provide blood products to trauma patients?
Author(s) -
Yuan Shan,
Ziman Alyssa,
Anthony Mary Anne,
Tsukahara Elsa,
Hopkins Courtney,
Lu Qun,
Goldfinger Dennis
Publication year - 2009
Publication title -
transfusion
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.045
H-Index - 132
eISSN - 1537-2995
pISSN - 0041-1132
DOI - 10.1111/j.1537-2995.2009.02150.x
Subject(s) - transfusion medicine , medicine , medline , blood transfusion , family medicine , gerontology , biology , biochemistry
Theneedforlargevolumesofbloodcomponentsforsome patients, particularly those with the greatest risk of mor- tality, can arise before or within minutes of their arrival to the hospital. Recent data from one large trauma center in the United States showed that 62% of all RBC units were administered in the first 24 hours of admission, with 18% given uncrossmatched due to the urgency of transfusion. Although the majority (91%) of trauma patients were not transfused, the few (3%) that were massively transfused (i.e., receiving more than 10 units of RBCs) received more than 71% of all RBC units given. Furthermore, this sub- group of patients also had a high mortality rate of 39%. 5