Step by step transfusion timeline and its challenges in trauma: A retrospective study in a level one trauma center

• DOI: 10.1111/trf.16953
• Publication Date: 2022-07-04T07:19:15Z
• Authors: Matthieu Boye; Nicolas Py; Nicolas Libert; Anne Chrisment; Mathieu Pissot; Emmanuel Dedome; Christophe Martinaud; Sylvain Ausset; Mathieu Boutonnet; Stéphane De Rudnicki; Pierre Pasquier; Thibault Martinez
• Keywords: Trauma Center; Blood product; Fresh frozen plasma

Hemorrhagic shock is the leading cause of preventable early death in trauma patients. Transfusion management guided by international guidelines promoting and aggressive transfusion strategies. This study aimed to describe timelines a center identify key points performing efficient transfusions.This monocentric retrospective 108 severe patients, transfused within first 48 h hospitalized an intensive care unit between January 2017 May 2019.One hundred eight patients were with 1250 labile blood products. Half these products 3 admission consumed 26 requiring massive (≥4 red cells [RBC] 1 h). Among these, median delay from patient's prescription was -11 min (-34 -1); delivery (-20 16); 20 (7-37) for RBC, (13-38) plasma, 72 (51-103) platelet concentrates. The anticipated use packs lyophilized plasma units associated earlier achievement high ratios.This provides detailed data on composition, initial transfusion. anticipation, preconditioned including platelets, allow rapid high-ratio practices