List Archives

Mon Oct 3 13:57:25 BST 2011

Our 1:1 is our attempt to reconstruct whole blood.  Remember 1:1 is
RBC:Plasma. If you have whole blood then you do not need to use
RBC:plasma reconstruction. You have the best already :)

Norman
Norman McSwain MD, FACS
Professor, Tulane School of Medicine
President, Orleans Parish Medical Society
Trauma Director, Spirit of Charity Trauma Center, ILH/MCLNO 
norman.mcswain at tulane.edu
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Christos Giannou
Sent: Monday, October 03, 2011 4:26 AM
To: trauma-list at trauma.org
Subject: Re: definition of resuscitation

Thanks to Ken for being his wise and provocative self.

I would agree with Norman: "preserve energy production (ATP) by keeping
the
patient in aerobic metabolism and out of anaerobic metabolism", which
would
cover Bryan Boling's "restoration of blood flow/perfusion", as well as
oxygen carrying capacity (Airway, Breathing). What are the best clinical
parameters to ascertain this is a point for debate. And, they must be
easily
performed in a general district hospital and not just in a highly
sophisticated centre.

However, Norman's "plasma with red blood cells in a 1:1" applies to only
one
part of the world. As I have mentioned a number of times on this list,
whole
fresh blood is used in the majority of the world's hospitals, which
cannot
afford components. The US military has "re-discovered" this in the
field.
When will the academics on this list organise a proper trial, providing
the
necessary laboratory equipment and expertise, with an African or Asian
hospital or ministry of health in order to better find out what exactly
is
happening in terms of patient physiology?

-- 
christos giannou
Monemvasia Lakonia
23070 Greece
tel & fax: (++30) 27320-61772
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/

List Archives

For your convenience, find the Trauma List Archive Below

definition of resuscitation