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Fri Aug 10 13:53:11 BST 2007

The trouble i'm running into is the lack of data to support this.  I agree it is what we need to do, but it is anesthesia that is resisting.  How did you show them the light?

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Sise, Mike MD
Sent: Friday, August 10, 2007 8:46 AM
To: trauma-list at trauma.org
Subject: Implementing 1 to1 pRBCs to FFP for Resuscitation

To my colleagues around the Trauma world,

We've implemented a combination of permissive hypotension, limiting crystalloids (No Ringers!), and 1 to 1 packed cells to FFP transfusion ratio for life threatening hemorrhage with remarkable results. It takes time to get the Blood Bank, ICU nurses and, most importantly, the Anesthesiologists onboard. 

I would be very interested in lessons learned from other centers who have adopted this approach and in any doubts about this approach some of you may have. 

Your thoughts?

Mike Sise
San Diego

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Implementing 1 to1 pRBCs to FFP for Resuscitation