Necessity of Defining Different Transfusion Protocols for Different Kinds of Trauma Injuries
Journal Title: Bulletin of Emergency And Trauma - Year 2015, Vol 3, Issue 4
Abstract
The concept of shock needs to be re-evaluated, since sole emphasis on the reduction of intravascular volume and subsequent decreased tissue perfusion could not explain various conditions of trauma patients and is not applicable enough to help us to understand and manage the shock in different situations. Perhaps we need to add a new concept that refers to irreversible damage to the body organs. The concept of our concern is to keep trauma victims alive and reduce possibility of multiorgan failure. It is obvious that in any different state of shock, the most important goal is to maintain the integrity and function of the central nervous system and it needs to be dealt with differently in every particular situation. Presumably, a better definition of shock is defined as metabolic conditions which alongside intravascular effective volume changes, results in irreversible tissue damages. Therefore, the point is to define different ultimate goals for management, and thresholds for resuscitation and transfusion in different conditions.
Authors and Affiliations
Shahram Paydar, Golnar Sabetian, Zahra Ghahramani, Seyed Mohsen Mousavi, Hosseinali Khalili, Hamid Reza Abbasi
Keywords
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