Abstract:Transfusion therapy has come full cycle in Iraq and Afghanistan as fresh whole blood (FWB) use has again found a place in the resuscitation of military casualties. The use of equal ratios of packed red blood cells, plasma and platelets (so called 1:1:1 therapy) to effectively reconstitute whole blood is gaining ground in civilian trauma centers to attempt to replicate the approach of military trauma teams. While this is an exciting and potential life -saving therapy, have we considered the "collateral damage" of these trauma resuscitation protocols begs the question; does the current evidence support this approach?
Objectives:At the conclusion of this lecture, the participant will be able to:1. Describe the pathophysiology of the acute coagulopathy of trauma shock2. Describe damage control resuscitation strategies3. List adjuncts to trauma resuscitation including the role of point of care testing4. Compare and contrast military trauma data to civilian trauma data regarding trauma resuscitation protocols5. Describe strategies to minimize the operational impact and to improve documentation and compliance of trauma resuscitation protocols
Goal:The goal of this presentation is to review the current literature for the evidence-based treatment of trauma patients, including the use of high plasma to red blood cell ratio protocols, and to discuss strategies to improve the quality, safety and efficiency of care for these complex patients.
Teaching Strategy:The teaching strategy will be didactic in the form of a PowerPoint presentation, followed by a question and answer period.
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Make Blood Management a Quality Priority for 2013May 23, 20132PM ET
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