Premium
Outcomes of traumatic hemorrhagic shock and the epidemiology of preventable death from injury
Author(s) -
Eastridge Brian J.,
Holcomb John B.,
Shackelford Stacy
Publication year - 2019
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/trf.15161
Subject(s) - medicine , hemorrhagic shock , psychological intervention , resuscitation , intensive care medicine , emergency medicine , epidemiology , medical emergency , shock (circulatory) , injury severity score , cause of death , injury prevention , poison control , disease , psychiatry
The majority of potentially preventable deaths after trauma are related to hemorrhage and occur early after injury, with the largest number of deaths occurring before hospital arrival. Approximately one‐fourth of trauma deaths may be potentially preventable through early medical and surgical interventions. Interventions dedicated to bleeding control and hemostatic resuscitation have demonstrated merit in decreasing hemorrhagic injury mortality. Advancing these novel strategies to the casualty in the prehospital phase of care, particularly in tactical or austere environments, may prove beneficial for hemorrhage mitigation to temporize the window of survival to definitive care. Future studies of resuscitation and survival after traumatic injury must include analysis of prehospital deaths to fully understand the outcomes of early interventions.