Haemorrhage Control in the German Army - Lessons Learned
FEDERAL ARMED FORCES BONN (GERMANY F R) ADMINISTRATION OFFICE
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Modern warfare causes severe injuries, and despite rapid transportation to theatre regional trauma centres, casualties frequently arrive coagulopathic and in shock. Conventional resuscitation beginning with crystalloid fluids to treat shock causes further dilutional coagulopathy and increased hemorrhagic loss of platelets and coagulation factors. It is a recommendation of the transfusion medicine council TMC of the federal armed forces of Germany that the administration of rFVIIa combined with hypotensive resuscitation can increase survival time of combat casualties. The TMC further encourages the use of fibrinogen for combat casualties with massive haemorrhage and also the transfusion of fresh whole blood FWB for trauma induced coagulopathy as well.
- Medicine and Medical Research