Emergency Transfusions.
Publication/Presentation Date
11-1-2020
Abstract
Successful emergency transfusions require early recognition and activation of resources to minimize treatment delays. The initial goals should focus on replacement of blood in a balanced fashion. There is an ongoing debate regarding the best approach to transfusions, with some advocating for resuscitation with a fixed ratio of blood products and others preferring to use viscoelastic assays to guide transfusions. Whole-blood transfusion also is a debated strategy. Despite these different approaches, it generally is accepted that transfusions should be started early and crystalloid infusions limited. As hemodynamic stability is restored, endpoints of resuscitation should be used to guide the resuscitation.
Volume
38
Issue
4
First Page
795
Last Page
805
ISSN
1558-0539
Published In/Presented At
Farrell, M. S., Kim, W. C., & Stein, D. M. (2020). Emergency Transfusions. Emergency medicine clinics of North America, 38(4), 795–805. https://doi.org/10.1016/j.emc.2020.06.005
Disciplines
Medicine and Health Sciences
PubMedID
32981618
Department(s)
Department of Surgery
Document Type
Article