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Tue Jun 16 04:13:07 BST 2009

Dear Tom,
People like to ruminate on this topic ( I am asked very frequently to talk about this topic) , but I tend to agree with Norm. We have no major advancements rather than recognizing our ignorance in the past.
I do not think that there is any proven recent advancements apart from common sense:
- stop the bleeding ASAP
- do not blow up your patients with unnecessary salty water
- give red blood cells when the oxygen carrying capacity is the main issue
- give something what helps to form clot.
Best Regards,
Zsolt

Prof. Zsolt J. Balogh, MD, PhD, FRACS
Director of Trauma, John Hunter Hospital and Hunter New England Area Health Service
Discipline Head of Traumatology, University of Newcastle
Newcastle, NSW
AUSTRALIA
Tel: +61 2 49214259
Fax: +61 2 29214274
E-mail: zsolt.balogh at hnehealth.nsw.gov.au 

>>> "McSwain, Norman E Jr." <nmcswai at tulane.edu> 16/06/2009 9:59 am >>>
Actually none of the 'recent changes' are recent. Plasma was used very
successfully in WWII. Even when I was a resident in the late 1960's
whole blood was very effective for trauma managements. The 'recent
changes' have  been a return to as close as possible to WHOLE BLOOD of
the 1960's. 

In the early 1970's the pharmaceutical industry took Whole blood, broke
down into components and sold it back to us in parts for more money.

Norman

Norman McSwain MD
Professor - Tulane Univ. SOM
Trauma Director - Charity Hospital
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org 
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Tom Riley
Sent: Monday, June 15, 2009 3:32 PM
To: Trauma-List [TRAUMA.ORG]
Subject: Re: Recent advances in blood product transfusion in trauma

Yes, thanks for that, unfortunately this cuts both ways -  in that I
have a
feeling one of them is following up my talk... Gulp!

I will definitely wander down and make use of them though.

Thanks again!

Tom Riley

2009/6/15 Doc Holiday <drydok at hotmail.com>

>
> Well, D. Riley...
>
>
>
> You appear to be situated in the very same hospital where some of the
very
> experts on the topic you have been given are working every day. You
will
> likely be able to obtain multiple resources by simply speaking to the
> military consultants in your very own  Emergency department...
>
>
>
> You may well have to work "overtime" to get all of the information
> distilled into 15-20 minutes by Thursday, though...
>
> > Date: Mon, 15 Jun 2009 21:08:31 +0100
> > Subject: Recent advances in blood product transfusion in trauma
> > From: tom at tomriley.co.uk 
> > To: trauma-list at trauma.org 
> >
> > Dear all,
> > Please excuse me for picking making use of your expertise. I've
> > been "asked" by one of my consultants (atendings) to do a
15-20minute
> talk
> > on "Recent advances in blood product transfusion in trauma" on
Thursday,
> The
> > audience will be Intensive care trainees and consultants
(atendings).
> Does
> > anyone have any suggestions for what to include, key papers or good
> review
> > articles to read, both for the talk and out of general interest? I'd
be
> > extremely grateful for any advice.
> >
> > Dr. Thomas Riley
> > F1 (Intern equivalent)
> > Derriford Hosptial
> > Plymouth
> > UK
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Recent advances in blood product transfusion in trauma