List Archives

Tue Dec 16 20:35:10 GMT 2008

Our activation criteria include any reliably documented systolic under
90 mmHg, at any phase.  But we're required to have the blood products
trigger too.  Not having that line would presumably be a Type I criteria
deficiency.  I'm not seeing the importance of it.  But I'm wrong a lot.

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Moore, Rick
Sent: Tuesday, December 16, 2008 3:18 PM
To: Trauma &amp; Critical Care mailing list
Subject: RE: Blood and Triage

Pret, 
Now that you put it that way I agree with you. I have always justified
it in my mind that the hypotension criteria relate specifically to
patients being transported from a scene, where as the "receiving blood"
criteria was specifically for transfer patients from another facility.
And this would capture patients who are transferred in who are more
normotensive due to the transfusion keeping them a higher level of
activation.
Rick 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Bjorn, Pret
Sent: Tuesday, December 16, 2008 2:06 PM
To: Trauma &amp; Critical Care mailing list
Subject: Blood and Triage

I have a quibble:

How many of you at verified trauma centers have a distinct trauma
response activation criterion which speaks to "patients receiving blood
to maintain vital signs?"

I can't figure out how this isn't redundant to any reasonable
hypotension criteria: if a stable patient is getting blood, it is not in
an effort to maintain vital signs.  Indeed, it is evidence that somebody
on the other end is hypocompetent.  Or am I missing something?  I miss
stuff.

Teach me.

Pret

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Blood and Triage