List Archives

Tue Jan 20 13:08:43 GMT 2009

Thanks a bunch, Horacio!

________________________________
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Horacio Massotto Chaves
Sent: Monday, January 19, 2009 10:48 AM
To: Trauma &amp; Critical Care mailing list
Subject: Re: Req for J of Trauma article on MTPs

Attached is the PDF of the article you need
HM

----- Mensaje original -----
De: Ivan Hronek <ivanhronek at yahoo.com>
Fecha: Domingo, 18 de Enero de 2009, 9:17 pm
Asunto: Req for J of Trauma article on MTPs
A: trauma-list at trauma.org

> Need this article for a discussion if 1:1 or 1:0.5
> RBC:FFP.........thanks !
>
> The Journal of Trauma: Injury, Infection, and Critical
> Care:Volume 60(6) SupplementJune 2006pp S91-S96
> Massive Transfusion Practices Around the Globe and a Suggestion
> for a Common Massive Transfusion Protocol
> [Article]
> Malone, Debra L. MD, LTC USAF, SGRS; Hess, John R. MD, MPH;
> Fingerhut, Abe MD
> >From the Department of Surgery, University of Maryland Medical
> Center, Baltimore, Maryland, USA (D.L.M.); Departments of
> Pathology and Medicine, University of Maryland Medical Center,
> Baltimore, Maryland, USA (J.R.H.); Department of Surgery, Poissy
> Centre Hospitalier Intercommunal, Poissy, France (A.F.).
> Received for publication November 18, 2005.
> Accepted for publication November 28, 2005.
> J.R.H. supported by NIH grant 1U01HL072359-01.
> The opinions or assertions contained herein are the private
> views of the authors and are not to be construed as official or
> reflecting the views of the Department of Defense or United
> States Government. One of the authors is an employe of the U.S.
> government. This work was prepared as part of her official
> duties and, as such, there is no copyright to be transferred.
> Address for reprints: Dr. Debra L. Malone, 10 North Greene
> Street, Room 5C120, Baltimore MD 21228; email: mdlm11 at aol.com,
> debra. malone at pentagon.af.mil.
> Abstract
> Background: Massive transfusion, the administration of 10 to
> more than 100 units of red blood cells (RBC) in less than 24
> hours, can be a life saving therapy in the treatment of severe
> injury. The rapid administration of large numbers of RBC, along
> with sufficient plasma and platelets to treat or prevent
> coagulopathy, is frequently a disorderly process. Patient care
> and collaborative research might be aided with a common protocol.
> Methods: The authors polled trauma organizations and trauma
> centers to find examples of massive transfusion protocols. The
> goals and ease of use of these protocols were evaluated.
> Results: Massive transfusion protocols exist at a relatively
> small number of large and well-organized trauma centers. Most of
> these protocols are designed to treat pre-existing and/or
> ongoing coagulopathy.
> Conclusions: The evidence would suggest that prevention of
> coagulopathy is superior to its treatment. Simple ratios such as
> 1:1:1 RBC:plasma:platelets have the benefit of ease of use and
> the relatively higher plasma and platelet doses appear to be
> associated with improved outcome. Such a standard protocol can
> foster multicenter research on resuscitation and hemorrhage
> control. The fixed volume ratios might allow the number and rate
> of administered units of RBC to be used as surrogates for blood
> loss and primary treatment effect.
> (c) 2006 Lippincott Williams & Wilkins, Inc.
>
> Ivan Hronek MD
> Los Angeles, CA
> http://health.groups.yahoo.com/group/Anesthideas/
> Do not fear to be eccentric in opinion, for every opinion now
> accepted was once eccentric. Bertrand Russell
>
> Confidentiality Notice: This transmission and any attached
> documents may be confidential and contain information protected
> by State and Federal Medical Privacy statutes and is legally
> privileged. They are intended for use only by the addressee. If
> you are not the intended recipient of this transmission, or an
> agent of the intended recipient, you are prohibited from
> reading, disclosing, printing, saving, copying, using, or
> otherwise disseminating any information contained in this
> transmission. If you received this transmission in error, please
> accept our apologies and notify me at ivanhronek at yahoo.com and
> delete the entire message and its attachments. Thank you.
> Disclaimer: this message contains the personal views of the
> author. The author will not be responsible in any way for
> procedures or approaches performed in the way suggested in this note.
>
>
>
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/

-----------------------------------------
CONFIDENTIALITY NOTICE: This email communication and any
attachments may contain confidential and privileged information for
the use of the designated recipients named above. If you are not
the intended recipient, you are hereby notified that you have
received this communication in error and that any review,
disclosure, dissemination, distribution or copying of it or its
contents is prohibited. If you have received this communication in
error, please reply to the sender immediately or by telephone at
(413) 794-0000 and destroy all copies of this communication and any
attachments. For further information regarding Baystate Health's
privacy policy, please visit our Internet web site at
http://www.baystatehealth.com.

List Archives

For your convenience, find the Trauma List Archive Below

Req for J of Trauma article on MTPs