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1:1 Blood Resuscitation, Round 2.

Ronald Gross Rgross at harthosp.org
Wed Feb 20 21:37:46 GMT 2008


Otherwise known as "wadeable" bleeding........

>>> Sanjay Gupta MD <sanjaygupta99_91 at yahoo.com> 2/20/2008 3:22 PM >>>
I like that expression - "audibly bleeding patients". 
Can also say - bleeding that you can see, bleeding
that you can hear and bleeding that you can feel.


Sanjay




--- Ronald Gross <Rgross at harthosp.org> wrote:

> Let me be the first to say that I am going to
> continue to use 1:1:1 as it was presented in
> Spinella, Holcomb et al, and start to collect data
> to prove to Karim that this IS the proper way to go
> if we want to decrease morbidity and mortality in
> these audibly bleeding patients!  ;-)
> 
> >>> "Sise, Mike MD" <Sise.Mike at scrippshealth.org>
> 2/14/2008 9:03 AM >>>
> So there is controversy over 1:1. How do we answer
> the question? Is a randomized trial justified or is
> it promising enough to just do it? On the one hand,
> we spent over 40 years using the intellectually
> attractive "balanced salt solution" lactated ringers
> without examining its impact. And blood transfusion
> therapy during the same interval may have been
> dictated by the technology that allowed fractionated
> blood banking - we abandoned whole blood. On the
> other hand, the results of 1:1 appear extremely
> promising. Pre-treatment Informed consent will be
> out of the question. Soooo, how about it Ken, Karim,
> Ron, Tim, all you trauma.org-istas.
>  
> Mike Sise
> San Diego
> 
> "Scripps Information Security" 
>
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Sanjay Gupta
Tel: 412 335 6304


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