Release and Expiration Dates
Release Date: 3/20/2020
Expiration Date:11/20/2025
Last Reviewed Date
11/29/2022
Achieving Blood Product and Resuscitation Balance
Program Overview
Achieving Blood Product and Resuscitation Balance 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 gain a better understanding of effective resuscitation fluids for the trauma patient.
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. Review the evolution of trauma resuscitation over the last 155 years
2. List the effects of normal saline and crystalloid on the trauma patient
3. Discuss the logistical and administrative benefits of whole blood
Moderator: Timothy Murphy
Faculty Presenter: Dr. John Holcomb
Presenter Bio
John Bradley Holcomb received his M.D. from the University of Arkansas Medical School in 1985. Dr. Holcomb entered the U.S. Army in 1985, and completed his general surgery training in 1991. Dr Holcomb then deployed with the Joint Special Operations Command for the next decade. From 2002 to 2008, COL Holcomb was the Commander of the U.S. Army Institute of Surgical Research and Trauma Consultant for the Army Surgeon General. Over the years he has deployed in multiple real world operations. He is a three time recipient of the Army's Greatest Invention award. COL Holcomb retired from active duty in 2008 and received the Lifetime Achievement Award in Trauma Resuscitation Science from the American Heart Association, the United States Special Operations Command Medal, and the Service award from the American College of Surgery. He has been a member of the Committee on Tactical Combat Casualty Care since 2001. In 2008, Dr. Holcomb joined the University of Texas Health Science Center at Houston as a Professor of Surgery. In 2016 he received the MAJ Jonathan Letterman award from the National Museum of Civil War Medicine. Dr. Holcomb is actively involved in clinical medicine, education, research, entrepreneurship and is a founder of a small health IT company. He reviews papers for more than 25 journals, has published > 500 peer reviewed articles and serves on multiple boards. Dr. Holcomb and his wife, Dr. Kelly Wirfel, were married in 1998 and have 2 children.
References
Hemostasis in Massively Transfused Trauma Patients, R.B. Counts, C. Haisch, T. L. Simon, N. G. Maxwell, D. M. Heimbach, C. J. Carrico
Serial Changes in Primary Hemostatsis After Massive Transfusion, Celestine Harrigan, Charles E. Lucas, Anna M. Ledgerwood, Daniel A. Walx, and Eberhard F. Mammen
Normal Saline Versus Lactated Ringer’s Solution for Intraoperative Fluid Management in Patients Undergoing Abdominal Aortic Aneurysm Repair: An Outcome Study, Waters, Jonathan H., MD; Gottlieb, Alexandru, MD; Schoenwald, Peter, MD; Popovich, Marc J., MD; Sprung, Juraj, MD, PhD; Nelson, David R., MS
Balanced Crystalloids versus Saline in Critically Ill Adults, Matthew W. Semler, M.D., Wesley H. Self, M.D., M.P.H., Jonathan P. Wanderer, M.D., Jesse M. Ehrenfeld, M.D., M.P.H., Li Wang, M.S., Daniel W. Byrne, M.S., Joanna L. Stollings, Pharm.D., Avinash B. Kumar, M.D., Christopher G. Hughes, M.D., Antonio Hernandez, M.D., Oscar D. Guillamondegui, M.D., M.P.H., Addison K. May, M.D., et al., for the SMART Investigators and the Pragmatic Critical Care Research Group*
The Incidence of Transfusion-Related Acute Lung Injury at a Large, Urban Tertiary Medical Center: A Decade’s Experience, Meyer DE, Reynolds JW, Hobbs R, Bai Y, Hartwell B, Pommerening MJ, Fox EE, Wade CE, Holcomb JB, Cotton BA
Risk Factors for the Development of Acute Respiratory Distress Syndrome Following Hemorrhage, Robinson BRH, Cohen MJ, Holcomb JB, Pritts TA, Gomaa D, Fox EE, Branson RD, Callcut RA, Cotton BA, Schreiber MA, Brasel KJ, Pittet JF, Inaba K, Kerby JD, Scalea TM, Wade CE, Bulger EM
Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial, Holcomb JB, Tilley BC, Baraniuk S, Fox EE, Wade CE, Podbielski JM, del Junco DJ, Brasel KJ, Bulger EM, Callcut RA, Cohen MJ, Cotton BA, Fabian TC, Inaba K, Kerby JD, Muskat P, O'Keeffe T, Rizoli S, Robinson BR, Scalea TM, Schreiber MA, Stein DM, Weinberg JA, Callum JL, Hess JR, Matijevic N, Miller CN, Pittet JF, Hoyt DB, Pearson GD, Leroux B, van Belle G
Damage control resuscitation in patients with severe traumatic hemorrhage: A practice management guideline from the Eastern Association for the Surgery of Trauma, Cannon JW, Khan MA, Raja AS, Cohen MJ, Como JJ, Cotton BA, Dubose JJ, Fox EE, Inaba K, Rodriguez CJ, Holcomb JB, Duchesne JC
Planners
Timothy Murphy
Dr. Christoph Kaufmann
Jennifer Ward
Deb Myers
Dr. Britt Christmas