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Sat Aug 11 04:44:27 BST 2007

I believe that this approach will save a lot of people.  Since adopting a
similar approach about 2 years ago, 4 - 5 people have been saved who would
have bled out using the old technique. 

E

Errington C. Thompson, MD, FACS, FCCM
Trauma/Surgical Critical Care
Author - Letter to America
Asheville, NC
-----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