Massive Transfusion Protocols in the Pediatric Trauma Patient: An Update
- Resource Type
- Authors
- Michelle Buehner; Mary J. Edwards
- Source
- Current Surgery Reports. 3
- Subject
- medicine.medical_specialty
Resuscitation
Blood transfusion
business.industry
medicine.medical_treatment
Adult population
medicine.disease
Massive transfusion
Blood product
Blood Component Transfusion
Coagulopathy
Medicine
Surgery
business
Intensive care medicine
Pediatric trauma
- Language
- ISSN
- 2167-4817
There has been significant research dedicated to damage control resuscitation in adult trauma patients with hemorrhagic shock. Balanced blood product resuscitation with restriction of crystalloid has demonstrated improved outcomes in such patients. But to date, there has been insufficient evidence to determine the best resuscitation strategy for severely injured children suffering from exsanguination. Nonetheless, massive transfusion protocols developed for the adult population have been modified and widely implemented for children. Despite the experiences gained during the recent military conflicts overseas and at civilian trauma centers, there continues to be a lack of evidence regarding optimal resuscitation strategies for children in hemorrhagic shock.