#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Massive transfusion protocol


Authors: J. Berková 1;  J. Kočí 1,2
Authors‘ workplace: Klinika urgentní medicíny Fakultní nemocnice Hradec Králové a Univerzita Karlova, Lékařská fakulta v Hradci Králové, Česká republika 1;  Traumacentrum Fakultní nemocnice Hradec Králové, Česká republika 2
Published in: Rozhl. Chir., 2023, roč. 102, č. 5, s. 189-193.
Category: Review
doi: https://doi.org/10.33699/PIS.2023.102.5.189–193

Overview

The management of severe traumatic bleeding includes damage control resuscitation procedures including, in addition to surgical bleeding control, the application of the massive transfusion protocol. The aim of this paper is to present the massive transfusion protocol and selected scoring systems for an early detection of patients with severe post-traumatic bleeding. The use of a standardized protocol to activate the massive transfusion protocol reduces lethality due to severe traumatic bleeding and the consumption of blood products in trauma centers.

Keywords:

damage control resuscitation – major trauma – massive transfusion protocol – whole blood


Sources

1. Mains CW, Sercy E, Elder T, et al. Predictors of massive transfusion protocol initiation among trauma patients transported from the scene via flight emergency management services. Air Med J. 2023;42(1):19–23. doi:10.1016/j.amj.2022.11.005.

2. ACS TQIP massive transfusion in trauma guidelines. Available at www.facs.org/media/zcjdtrd1/transfusion_guildelines.pdf.

3. American College of Surgeons, Committee on Trauma. Advanced trauma life support: Student course manual 2018.

4. Bickell WH, Wall MJ, Pepe PE, et al. Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med. 1994;331:1105–1109. doi:10.1056/NEJM199410273311701.

5. Camazine MN, Hemmila MR, Leonard JC, et al. Massive transfusion policies at trauma centers participating in the American College of Surgeons trauma quality improvement program. J Trauma Acute Care Surg. 2015;78:S48–53. doi:10.1097/TA.0000000000000641.

6. Holcomb JB, Tilley BC, Baraniuk S, et al. Transfusion of plasma, platelets, and red blood cells in a 1:1. JAMA 2015;313(5). doi:10.1001/jama.2015.12.

7. El-Menyar A, Mekkodathil A, Abdelrahman H, et al. Review of existing scoring systems for massive blood transfusion in trauma patients: Where do we stand? SHOCK 2019;52:288–299. doi:10.1097/SHK.0000000000001359.

8. Kočí J, Trlica J. Masivní transfuzní protokol – indikace a jeho praktická aplikace. Mediprax Praha 2015;18:25–258.

9. Duchesne JC, Islam TM, Stuke L, et al. Hemostatic resuscitation during surgery improves survival in patients with traumatic-induced coagulopathy. J Trauma 2009 Jul;67(1):33–37; discussion 37–39. doi:10.1097/TA.0b013e31819adb8e.

10. Olaussen A, Blackburn T, Mitra B, et al. Review article: Shock index for prediction of critical bleeding post-trauma: A systematic review: Shock index for critical bleeding. Emerg Med Australas 2014;26:223–228. doi:10.1111/1742-6723.12232.

11. Zhu CS, Cobb D, Jonas RB, et al. Shock index and pulse pressure as triggers for massive transfusion: J Trauma Acute Care Surg. 2019;87:S159–164. doi:10.1097/TA.0000000000002333.

12. Plodr M, Berková J, Hyšpler, et al. Prediction of pre-hospital blood transfusion in trauma patients based on scoring systems. BMC Emerg Med. 2023Jan12;23(1):2. doi:10.1186/s12873-022-00770-x.

13. Weaver AE, Hunter-Dunn C, Lyon RM, et al. The effectiveness of a ‘Code red’ transfusion request policy initiated by pre-hospital physicians. Injury 2016;47:3–6. doi:10.1016/j.injury.2015.06.023.

14. Tonglet ML, Minon JM, Seidel L, et al. Prehospital identification of trauma patients with early acute coagulopathy and massive bleeding: results of a prospective non-interventional clinical trial evaluating the Trauma induced coagulopathy clinical score (TICCS). Crit Care 2014;18:648. doi:10.1186/s13054-014-0648-0.

15. Nunez TC, Young PP, Holcomb JB, et al. Creation, implementation, and maturation of a massive transfusion protocol for the exsanguinating trauma patient. J Trauma Inj Infect Crit Care 2010;68:1498–1505. doi:10.1097/TA.0b013e3181d3cc25.

16. Joseph B, Khan M, Truitt M, et al. Massive transfusion: The revised assessment of bleeding and transfusion (RABT) score. World J Surg. 2018;42:3560–3567. doi:10.1007/s00268-018-4674-y.

17. Yücel N, Lefering R, Maegele M, et al. Trauma associated severe hemorrhage (TASH)-score: Probability of mass transfusion as surrogate for life threatening hemorrhage after multiple trauma. J Trauma Inj Infect Crit Care 2006;60:1228–1237. doi:10.1097/01.ta.0000220386.84012.bf.

18. Callcut RA, Cripps MW, Nelson MF, et al. The massive transfusion score as a decision aid for resuscitation: Learning when to turn the massive transfusion protocol on and off. J Trauma Acute Care Surg. 2016 Mar;80(3):450–456. doi:10.1097/TA.0000000000000914.

19. McLaughlin DF, Niles SE, Salinas J, et al. A predictive model for massive transfusion in combat casualty patients. J Trauma Inj Infect Crit Care 2008;64:S57–63. doi:10.1097/TA.0b013e318160a566.

20. Eastridge BJ, Butler F, Wade CE, et al. Field triage score (FTS) in battlefield casualties: validation of a novel triage technique in a combat environment. Am J Surg. 2010;200:7247. doi:10.1016/j.amjsurg.2010.08.006.

21. Vitale DA, Maegele M, Borgman MA. Prediction of life-threatening hemorrhage. In: Spinella PC. ed. Damage control resuscitation. Springer International Publishing 2020:67–84. doi:10.1007/978-3-030-20820-2_4.

22. Baksaas-Aasen K, Gall LS, Stensballe J, et al. Viscoelastic haemostatic assay augmented protocols for major trauma haemorrhage (ITACTIC): a randomized, controlled trial. Intensive Care Med. 2021 Jan;47(1):49–59. doi:10.1007/s00134-020-06266-1.

23. Jenkins DH, Rappold JF, Badloe JF, et al. Trauma hemostasis and oxygenation research position paper on remote damage control resuscitation. Definitions, current practice, and knowledge gaps. Shock 2014;41:3–12. doi:10.1097/SHK.0000000000000140.

Labels
Surgery Orthopaedics Trauma surgery
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#