Accession Number : ADA621566


Title :   The Lost Art of Whole Blood Transfusion in Austere Environments


Descriptive Note : Journal article


Corporate Author : ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX


Personal Author(s) : Strandenes, Geir ; Hervig, Tor A ; Bjerkvig, Christopher K ; Steve illiams, ; Eliassen, Hakon S ; Fosse, Theodor K ; Torvanger, Hans ; Cap, Andrew P


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a621566.pdf


Report Date : Apr 2015


Pagination or Media Count : 7


Abstract : The optimal resuscitation fluid for uncontrolled bleeding and hemorrhagic shock in both pre- and in-hospital settings has been an ongoing controversy for decades. Hemorrhage continues to be a major cause of death in both the civilian and military trauma population, and survival depends on adequacy of hemorrhage control and resuscitation between onset of bleeding and arrival at a medical treatment facility. The terms far-forward and austere are defined, respectively, as the environment where professional health care providers normally do not operate and a setting in which basic equipment and capabilities necessary for resuscitation are often not available. The relative austerity of a treatment setting may be a function of timing rather than just location, as life-saving interventions must be performed quickly before hemorrhagic shock becomes irreversible. Fresh whole blood transfusions in the field may be a feasible life-saving procedure when facing significant hemorrhage.


Descriptors :   *BLOOD TRANSFUSION , HEMORRHAGE , HEMORRHAGIC SHOCK , OXYGEN , RESUSCITATION , TRAUMA


Subject Categories : Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE