Emergency Transfusions
Autor: | Michael S. Farrell, Woon Cho Kim, Deborah M. Stein |
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Rok vydání: | 2020 |
Předmět: |
Catheterization
Central Venous Emergency Medical Services Critical Illness Resuscitation Clinical Decision-Making Shock Hemorrhagic Infusions Intraosseous Antifibrinolytic Agents Thrombelastography Blood Grouping and Crossmatching Clinical Protocols Tranexamic Acid Emergency Medicine Humans Wounds and Injuries Blood Transfusion Hypotension Emergency Service Hospital Infusions Intravenous |
Zdroj: | Emergency medicine clinics of North America. 38(4) |
ISSN: | 1558-0539 |
Popis: | Successful emergency transfusions require early recognition and activation of resources to minimize treatment delays. The initial goals should focus on replacement of blood in a balanced fashion. There is an ongoing debate regarding the best approach to transfusions, with some advocating for resuscitation with a fixed ratio of blood products and others preferring to use viscoelastic assays to guide transfusions. Whole-blood transfusion also is a debated strategy. Despite these different approaches, it generally is accepted that transfusions should be started early and crystalloid infusions limited. As hemodynamic stability is restored, endpoints of resuscitation should be used to guide the resuscitation. |
Databáze: | OpenAIRE |
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