Prehospital Blood Product and Crystalloid Resuscitation in the Severely Injured Patient

2019192 citationsJournal Article

Authors

Francis X. Guyette · University of Pittsburgh Medical Center

Jason L. Sperry · University of Pittsburgh Medical Center

Andrew B. Peitzman · University of Pittsburgh Medical Center

Timothy R. Billiar · University of Pittsburgh Medical Center

Brian J. Daley · University of Tennessee Health Science Center

Richard S. Miller · Vanderbilt University Medical Center

Brian G. Harbrecht

Abstract

Patients receiving prehospital PRBC+plasma had the greatest mortality benefit. Crystalloid only had the worst survival. Patients with hemorrhagic shock should receive prehospital blood products when available, preferably PRBC+plasma. Prehospital whole blood may be ideal in this population.

Topics & Keywords

Trauma, Hemostasis, Coagulopathy, Resuscitation Trauma and Emergency Care Studies Abdominal Trauma and Injuries

UN Sustainable Development Goals

Good health and well-being

Publication Details

Published in: Annals of Surgery

Volume 273, Issue 2, pp. 358-364

DOI: 10.1097/sla.0000000000003324

Field-Weighted Citation Impact: 15.62