2019 Trauma University: Achieving Blood Product and Resuscitation Balance-Achieving Blood Product and Resuscitation Balance

Achieving Blood Product and Resuscitation Balance - handout

Pdf Summary

This document discusses the evolution of trauma resuscitation over the last 155 years, with a focus on achieving blood product and resuscitation balance. It highlights the increasing number of deaths from injuries worldwide and the need to improve trauma care. The document emphasizes the importance of whole blood as the primary resuscitation fluid, drawing from historical examples and military experiences. It also discusses the use of components such as plasma, platelets, and cryoprecipitate, and their potential benefits and complications. The document introduces the concept of damage control resuscitation (DCR), which includes stopping bleeding, minimizing crystalloid use, and using a 1:1:1 ratio of plasma, platelets, and red blood cells. It presents a range of studies and data to support the efficacy of DCR and the use of whole blood. It also discusses the logistical and administrative benefits of using whole blood, as well as the potential for dried plasma to replace liquid plasma in transfusions. The document concludes by highlighting the increasing adoption of whole blood in civilian trauma centers and the need for further research and standardization in blood product resuscitation.

Keywords

evolution of trauma resuscitation

blood product and resuscitation balance

deaths from injuries worldwide

improving trauma care

whole blood as primary resuscitation fluid

damage control resuscitation (DCR)

1:1:1 ratio of plasma, platelets, and red blood cells

efficacy of DCR and whole blood

logistical and administrative benefits of whole blood

dried plasma in transfusions