Traumatic hemorrhage and chain of survival

RK Latif, SP Clifford, JA Baker, R Lenhardt… - Scandinavian Journal of …, 2023 - Springer
Trauma is the number one cause of death among Americans between the ages of 1 and 46
years, costing more than $670 billion a year. Following death related to central nervous …

When is enough enough? Odds of survival by unit transfused

AM Loudon, AP Rushing, JJ Hue… - Journal of Trauma …, 2023 - journals.lww.com
BACKGROUND Balanced transfusion is lifesaving for hemorrhagic shock. The American
Red Cross critical blood shortage in 2022 threatened the immediate availability of blood. To …

Pediatric traumatic hemorrhagic shock consensus conference recommendations

RT Russell, JR Esparaz, MA Beckwith… - Journal of Trauma …, 2023 - journals.lww.com
Hemorrhagic shock in pediatric trauma patients remains a challenging yet preventable
cause of death. There is little high-quality evidence available to guide specific aspects of …

A prophylactic TXA administration effectively reduces the risk of intraoperative bleeding during open management of pelvic and acetabular fractures

GR Kenmegne, C Zou, Y Lin, Y Yin, S Huang… - Scientific Reports, 2023 - nature.com
This study aimed to evaluate the efficacy of perioperative intravenous TXA in reducing blood
loss in pelvic and acetabular fracture patients managed surgically. The study included 306 …

Prehospital tranexamic acid is associated with a dose-dependent decrease in syndecan-1 after trauma: A secondary analysis of a prospective randomized trial

DS Gruen, JB Brown, FX Guyette… - Journal of Trauma …, 2023 - journals.lww.com
BACKGROUND In the Study of Tranexamic Acid During Air and Ground Prehospital
Transport (STAAMP) Trial, prehospital tranexamic acid (TXA) was associated with lower …

Tranexamic acid in burn surgery: A systematic review and meta-analysis

AJ Fijany, KB Givechian, I Zago, SE Olsson, MJ Boctor… - Burns, 2023 - Elsevier
Burn injury causes a coagulopathy that is poorly understood. After severe burns, significant
fluid losses are managed by aggressive resuscitation that can lead to hemodilution. These …

Correction of haemorrhagic shock-associated coagulopathy and impaired haemostasis by plasma, prothrombin complex concentrates or an activated protein C …

LJ Eltringham-Smith, SC Meixner, ELG Pryzdial… - Scientific Reports, 2023 - nature.com
Even with extensive transfusion support, trauma-induced bleeding often leads to death.
Early intervention may improve outcomes, yet which blood products, factor concentrates, or …

Surgical implementation gap: an interrupted time series analysis with interviews examining the impact of surgical trials on surgical practice in England

KA Schmidtke, F Evison, A Grove… - BMJ Quality & …, 2023 - qualitysafety.bmj.com
Objectives Landmark studies published near the turn of the 21st century found an
implementation gap concerning the effect of evidenced-based findings on clinical practice …

Dried plasma: An urgent priority for trauma readiness

TM Polk, JM Gurney, LE Riggs… - Journal of Trauma …, 2023 - journals.lww.com
As the US military pivots from years of low-intensity counterinsurgency operations to
preparation for large-scale combat operations against a near-peer competitor, the realities of …

Absence of hyperfibrinolysis may explain lack of efficacy of tranexamic acid in hypoproliferative thrombocytopenia

A Ilich, TB Gernsheimer, DJ Triulzi, H Herren… - Blood …, 2023 - ashpublications.org
Abstract The American Trial Using Tranexamic Acid (TXA) in Thrombocytopenia (A-TREAT,
NCT02578901) demonstrated no superiority of TXA over placebo in preventing World …