article thumbnail

Understanding pre-hospital blood transfusion decision-making for injured patients: an interview study

Emergency Medicine Journal

Background Blood transfusion for bleeding trauma patients is a promising pre-hospital intervention with potential to improve outcomes. However, it is not yet clear which patients may benefit from pre-hospital transfusions. Interviews were semi-structured and explored how decisions were made and what made decisions difficult.

article thumbnail

Jehovah’s Witnesses And Blood Transfusion Demystified

The Trauma Pro

Injury can be a bloody business, and trauma professionals take replacement of blood products for granted. So why would someone refuse blood when the trauma team is convinced that it is the only thing that may save their life?

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

The End Of Serial Hemoglobin/Hematocrit In Solid Organ Injury

The Trauma Pro

Possible interventions were none, operation, angioembolization, or blood transfusion. They examined how often serial hemoglobin determinations influenced management during the study period. That patient had a laparotomy based on the lab test.

article thumbnail

Prehospital vs ED arrival blood in pediatric patients.

University of Maryland Department of Emergency Med

In this small propensity matching study looking at prehospital blood transfusion vs. emergency department blood transfusion in trauma patients ag. Click to view the rest

article thumbnail

What’s With Those John / Jane Doe Names?

The Trauma Pro

This can result in catastrophic errors if test results are misinterpreted, or a blood transfusion with incorrect ABO typing is given to the wrong patient. There are too many opportunities to mix up similar names, especially if the last one is always the same. Some use number and letter sequences combined with another unique word.

article thumbnail

4-factor prothrombin complex for trauma (PROCOAG trial)

PulmCCM

Among 324 patients with trauma and life-threatening bleeding at 12 French hospitals who were randomized to receive 1ml/kg PCC or placebo, there was no reduction observed in 24-hour blood transfusion needs in the PCC group. PCC was associated with a significantly higher risk for thromboembolic complications (35% vs 24%). Read in JAMA

article thumbnail

The Quandary of a "Positive" Trial with a Non-significant Result?

Sensible Medicine

But, on the other hand, giving blood comes with the risk of volume overload, infection, clotting and inflammation. But, in general, blood transfusion strategies have been studied in many other clinical situations. Previous trials of treating anemia in post-MI patients have been small and inconclusive.