UMEM Educational Pearls

Title: Prehospital blood for penetrating trauma

Category: Trauma

Keywords: Trauma, blood, Txa, prehospital (PubMed Search)

Posted: 11/10/2024 by Robert Flint, MD (Updated: 11/22/2024)
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In this small retrospective study comparing outcomes before and after a prehospital blood administration protocol for penetrating trauma was initiated, the authors found improved survival in those receiving prehospital blood despite a five minute longer on scene time in those receiving blood. Also note TXA was part of the blood protocol but not the control group.

References

Every minute matters: Improving outcomes for penetrating trauma through prehospital advanced resuscitative care

Duchesne, Juan MD; McLafferty, Bryant J. BS; Broome, Jacob M. MD; Caputo, Sydney BS; Ritondale, Joseph P. BS; Tatum, Danielle PhD; Taghavi, Sharven MD, MPH; Jackson-Weaver, Olan PhD; Tran, Sherman MS; McGrew, Patrick MD; Harrell, Kevin N. MD; Smith, Alison MD, PhD; Nichols, Emily MD; Dransfield, Thomas NRP; Marino, Megan MD; Piehl, Mark MD, MPH

Journal of Trauma and Acute Care Surgery 97(5):p 710-715, November 2024. | DOI: 10.1097/TA.0000000000004363