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Who's doing 1:1 blood transfusions for shock?

Ronald Gross Rgross at harthosp.org
Tue Feb 12 16:15:45 GMT 2008

Mike, Tim, et all,

I think Tim and I have the same blood bank!  We, too, are going to the 1:1:1 more often than not; I do it routinely largely because that is what I was doing when I was in the sandbox, and because several of my colleagues are starting to believe, thanks to Holcomb and our early results here.  It has NOT been universally accepted, however, and I am not sure why.

>>> "Hardcastle, Tim, Dr <tch at sun.ac.za>" <tch at sun.ac.za> 2/12/2008 11:03 AM >>>

We do it as best possible - our blood bank tries their best to make it difficult. My subjective opinion is that we use less blood in total and have less abdomens left open after OR due to bowel oedema (same reason we use modern starches and geletins as resus fluids!!)

Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Division of Surgery (General) Room 4064
Department of Surgical Sciences
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za 
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302

-----Original Message-----
From: trauma-list-bounces at trauma.org 
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Sise, Mike MD
Sent: Tuesday, February 12, 2008 5:56 PM
To: trauma-list at trauma.org 
Subject: Who's doing 1:1 blood transfusions for shock?

To all,
Who's doing 1:1 fresh frozen plasma to packed RBCs transfusions and limiting crystalloid for resuscitation in hemorrhagic shock? If you've adopted it - why? If not - why? Any and all comments requested.
Mike Sise
San Diego

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