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Fri Jan 16 12:24:36 GMT 2009

Dear Marc- since the institution of Early Hemostatic Resuscitation at Charity, NO we counted only 2 cases were factor VII was used over the last 2 years, for which both patients end up dying. Based on our experience we decided to look further into this question. The below reference may be of help:
Good Luck
Juan

Current evidence based guidelines for factor VIIa use in trauma: the good, the bad, and the ugly. <https://ent.tulane.edu/pubmed/19097529?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum> 

Duchesne JC, Mathew KA, Marr AB, Pinsky MR, Barbeau JM, McSwain NE.

Am Surg. 2008 Dec;74(12):1159-65.

Juan C. Duchesne MD, FACS, FCCP
Director Surgical Hospital Center 
Director Tulane Surgical Intensive Care Unit  
AMR Regional Director Louisiana Emergency Response Network

Division of Trauma and Critical Care Surgery
Tulane & LSU Department of Surgery and Anesthesiology 
1430 Tulane Ave., SL-22
New Orleans LA 70112-2699
Tel. 504-988-5111
Fax. 504-988-3683

________________________________

From: trauma-list-bounces at trauma.org on behalf of Marc Matthews - MedPro MMC X
Sent: Thu 1/15/2009 9:34 PM
To: Trauma &amp
Subject: RE: Factor VII (7) clinical triggers for use in the trauma OR 

All,

Does anybody have clinical triggers for the use of Factor VII (7) in the trauma OR? I am looking for any institution that has a guideline based on the literature for the triggers that they could share with me and anyone on this list server. I am looking to educate and provide economically sound advice on a very expensive medication. There have to be guidelines in trauma centers.

Anyone with a guideline or protocol regarding this would help as well as any salient pieces of advice in its use or non-use.

Thank you,

MRM

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Factor VII (7) clinical triggers for use in the trauma OR