The Lost Art of Whole Blood Transfusion in Austere Environments

Autor: Andrew P. Cap, Tor Hervig, Christopher K. Bjerkvig, Geir Strandenes, Håkon S. Eliassen, Hans Torvanger, Theodor K. Fosse, Steve Williams
Rok vydání: 2015
Předmět:
Zdroj: Current Sports Medicine Reports. 14:129-134
ISSN: 1537-890X
Popis: The optimal resuscitation fluid for uncontrolled bleeding and hemorrhagic shock in both pre- and in-hospital settings has been an ongoing controversy for decades. Hemorrhage continues to be a major cause of death in both the civilian and military trauma population, and survival depends on adequacy of hemorrhage control and resuscitation between onset of bleeding and arrival at a medical treatment facility. The terms far-forward and austere are defined, respectively, as the environment where professional health care providers normally do not operate and a setting in which basic equipment and capabilities necessary for resuscitation are often not available. The relative austerity of a treatment setting may be a function of timing rather than just location, as life-saving interventions must be performed quickly before hemorrhagic shock becomes irreversible. Fresh whole blood transfusions in the field may be a feasible life-saving procedure when facing significant hemorrhage.
Databáze: OpenAIRE