Release Date: 4/6/2020
Expiration Date:4/6/2023

4/6/2020

Program Overview
Atypical Transfusion Situations is a course offered in Series 3 of Trauma University, presented at TCAA's 2019 Annual Conference. Course topics are contributed by TCAA members and are designed to provide practitioners with clinical education opportunities. The purpose of this activity is to provide a view of transfusion issues in geriatric and special populations.

Estimated completion time: 60 minutes

Target Audience: The Trauma healthcare team and other clinical departments

Learning Objectives
At the conclusion of this course, the learner should be better able to:
1. Discover the knowledge of transfusion criteria and strategies for geriatric trauma patients and special populations
2. Relate to the decisions of those patients who refuse transfusion of blood products and provide alternative strategies for management in this population

Moderator: Timothy Murphy
Faculty Presenter: Dr. A. Britt Christmas

Presenter Bio
A. Britton Christmas received his B.A. degree from the University of Virginia in Charlottesville in 1996 and his M.D. degree from the University of Louisville School of Medicine in 2000. He completed his internship, residency, and surgical critical care fellowship in the Department of Surgery at the University of Louisville from 2000-2006 where he was inducted into the Alpha Omega Alpha Honor Medical Society. He joined the faculty of The F. H. “Sammy” Ross, Jr. Trauma Center at Carolinas Medical Center in Charlotte, North Carolina in 2006 where he currently serves as an attending surgeon for trauma, critical care, and acute care surgery, Professor of Surgery, Associate Medical Director and Vice Chief of Trauma, and Co-Medical Director of Pediatric Trauma. He also serves as Adjunct Associate Professor of Surgery for the University of North Carolina at Chapel Hill. He has authored/co-authored, 65 peer reviewed publications, 8 book chapters, and 180 presented abstracts. Society memberships include the American College of Surgeons (ACS), the Eastern Association for the Surgery of Trauma (EAST), the Pediatric Trauma Society, the American Association for the Surgery of Trauma (AAST) and the Southern Surgical Association. He is a former recipient of the EAST Leadership Development Scholarship, the recipient of the inaugural EAST Foundation Brandeis Scholarship in Health Policy and Management, and the recipient of the 2016 ACS Young Fellows Leadership and Advocacy Summit Scholarship. He currently serves on the Board of Directors and Executive Committee as President for EAST, the Board of Directors for the Trauma Centers Association of America (TCAA), and as Vice Chair for the North Carolina ACS Committee on Trauma. Current national committee appointments include the TCAA Finance Committee, the AAST Acute Care Surgery Committee, and the Southeastern Surgical Congress Finance Committee.

P. Innerhofer G. Luz L. Spötl P. Hobisch‐Hagen W. Schobersberger M. Fischer W. Nussbaumer A. Lochs E. Irschick. Immunologic changes after transfusion of autologous or allogeneic buffy coat‐poor versus white cell‐reduced blood to patients undergoing arthroplasty. I. Proliferative T‐cell responses and the balance of helper and suppressor T cells. Transfusion 1999 Oct;39(10) 1089

Houbiers, JG, Van de Velde, CJ, Van de Watering, LM, Hermans, J, Schreuder, S, Bijnen, AB, Pahlplatz, P, Eeftinck Schattenkerk, M, Wobbes, T, Vries, JE, Klementschitsch, P, Van de Maas, AH, Brank, A.Transfusion of red cells is associated with increased incidence of bacterial infection after colorectal surgery: a prospective study. Transfusion 37:126, 1997

Koval, Kenneth J.; Rosenberg, Andrew D.; Zuckerman, Joseph D.; Aharonoff, Gina B.; Skovron, Mary Louise; Bernstein, Ralph L.; Su, ; Chakka, Mangaraju. Does Blood Transfusion Increase the Risk of Infection After Hip Fracture? J Orthopaedic Trauma 11:260, 1997

 

Lemant, Jérôme MD; Boisson, Véronique MD; Winer, Arnaud MD; Thibault, Laure MD; André, Hélène MD; Tixier, François MD; Lemercier, Marie MD; Antok, Emmanuel MD; Cresta, Marie Pierre MD; Grivard, Philippe PhD; Besnard, Mathieu MD; Rollot, Olivier MSc; Favier, François MSc; Huerre, Michel MD; Campinos, José L. MD; Michault, Alain PhD. Serious acute chikungunya virus infection requiring intensive care during the reunion island outbreak in 2005–2006. Critical Care Medicine: September 2008 - Volume 36 - Issue 9 - p 2536-2541 doi: 10.1097/CCM.0b013e318183f2d2

Hebert PC, Wells G, Blajchman MA et al. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group. N Engl J Med 1999;340:409-17.Corwin HL. Anemia and red blood cell transfusion in the critically ill. Semin Dial 2006;19:513-6.

Hébert PC, Wells G, Blajchman MA, Marshall J, Martin C, Pagliarello G, Tweeddale M, Schweitzer I, Yetisir E. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group. N Engl J Med. 1999 Feb 11;340(6):409-17.

DzikWH. Emily Cooley Lecture 2002: Transfusion safety in the hospital. Transfusion 2003;43:1190-9.

Stover EP, Siegel LC, Parks R et al. Variability in transfusion practice for coronary artery bypass surgery persists despite national consensus guidelines: a 24-institution study. Institutions of the Multicenter Study of Perioperative Ischemia Research Group. Anesthesiology 1998;88:327-33.

Corwin HL, Gettinger A, Pearl RG et al. The CRIT Study: Anemia and blood transfusion in the critically ill--current clinical practice in the United States. Crit Care Med 2004;32:39-52.

Wallis JP, Wells AW, Chapman CE. Changing indications for red cell transfusion from 2000 to 2004 in the North of England. Transfus Med 2006;16:411-7.

Yazer M, Triulzi D. Messages from national blood data collection reports. Transfusion 2007;47:366-8.

MacPherson J, Mahoney CB, Katz L et al. Contribution of blood to hospital revenue in the United States. Transfusion 2007;47:114S-6S.

 

Hannon TJ, Paulson-Gjerde K. Contemporary economics of transfusions. In: Spiess BD, Spence RK, Shander A, eds. Perioperative Transfusion Medicine. Philadelphia: Lippincott Williams & Wilkins, 2005.

Timothy Murphy
Dr. Christoph Kaufman
Jennifer Ward
Deb Myers
Dr. Britt Christmas

Dr. Nathan Polite