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
Related Articles
- EP ID EP298142
- DOI -
- Views 52
- Downloads 0
Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study
Objective: To compare the short-term functional outcome between resection and reconstruction in Mason Type II and Type III radial head fractures using Broberg and Morrey score. Methods: A prospective cohort study was con...
Massive Blood Transfusions and Outcomes in Trauma Patients; An Intention to Treat Analysis
Objective: To determine if there exists an upper limit for amount of blood transfused in trauma patients before it reaches a point of futility. Methods: A prospective cohort study was conducted on 131 patients who receiv...
Acute Appendicitis during Pregnancy; Results of a Cohort Study in a Single Iranian Center
Objective: To determine the effects of pregnancy on the presentation, management, surgical and obstetrics outcome of patients with acute appendicitis. Methods: This prospective cohort study was conducted during a 2-year...
Correlation between Success Rates of Cardiopulmonary Cerebral Resuscitation and the Educational Level of the Team Leader; A Cross-Sectional Study
Objectives: To determine the correlation between the success rates of the cardiopulmonary cerebral resuscitation (CPCR) and the team’s leader education and skill level in Shiraz, southern Iran. Method: This cross-section...
Economic Burden of Road Traffic Accidents; Report from a Single Center from South Eastern Iran
Objective: To determine the economic burden of road traffic accidents (RTAs) in patients admitted to a single center in south eastern Iran. Methods: This cross-sectional study was conducted in Amir-Al-Momenin hospital of...