tailieunhanh - Báo cáo y học: "Black Hawk Down: The evolution of resuscitation strategies in massive traumatic hemorrhage"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Black Hawk Down: The evolution of resuscitation strategies in massive traumatic hemorrhage. | Available online at http content 12 4 305 University of Pittsburgh Department of Critical Care Medicine Evidence-Based Medicine Journal Club EBM Journal Club Section Editor Eric B. Milbrandt MD MPH Journal club critique Black Hawk Down The evolution of resuscitation strategies in massive traumatic hemorrhage Deepika Mohan1 Eric B. Milbrandt2 and Louis H. Alarcon3 1 Clinical Fellow Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 2 Assistant Professor Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 3 Assistant Professor Departments of Critical Care Medicine and Surgery University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA Published online 23rd July 2008 This article is online at http content 12 4 305 2008 BioMed Central Ltd Critical Care 2008 12 305 DOI cc6946 Expanded Abstract Citation Borgman MA Spinella PC Perkins JG Grathwohl KW Repine T Beekley AC Sebesta J Jenkins D Wade CE Holcomb JB The ratio of blood products transfused affects mortality in patients receiving massive transfusions at a combat support hospital. J Trauma 2007 63 805-813 1 . Background Patients with severe traumatic injuries often present with coagulopathy and require massive transfusion. The risk of death from hemorrhagic shock increases in this population. To treat the coagulopathy of trauma some have suggested early aggressive correction using a 1 1 ratio of plasma to red blood cell RBC units. Methods Objective To determine whether the ratio of plasma to RBCs transfused would affect survival by decreasing death from hemorrhage. Design Retrospective chart review. Setting United States Army combat support hospital in Iraq. Subjects 246 patients who received a massive transfusion 10 units of RBCs in 24 hours from November 2003 to September 2005. Three groups of patients were constructed according to the plasma to RBC ratio .