Whole-blood transfusion for hemorrhagic shock resuscitation: two cases in Djibouti View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012

AUTHORS

P Y Cordier, O Eve, C Dehan, F Topin, P Menguy, A Bertani, P L Massoure, E Kaiser

ABSTRACT

Hemorrhagic shock requires early aggressive treatment, including transfusion of packed red blood cells and hemostatic resuscitation. In austere environments, when component therapy is not available, warm fresh whole-blood transfusion is a convenient treatment. It provides red blood cells, clotting factors, and functional platelets. Therefore it is commonly used in military practice to treat hemorrhagic shock in combat casualties. At Bouffard Hospital Center in Djibouti, the supply of packed red blood cells is limited, and apheresis platelets are unavailable. We used whole blood transfusion in two civilian patients with life-threatening non-traumatic hemorrhages. One had massive bleeding caused by disseminated intravascular coagulation due to septic shock; the second was a 39 year-old pregnant woman with uterine rupture. In both cases, whole blood transfusion (twelve and ten 500 mL bags respectively), combined with etiological treatment, enabled coagulopathy correction, hemorrhage control, and satisfactory recovery. More... »

PAGES

213-216

Identifiers

URI

http://scigraph.springernature.com/pub.10.1684/mst.2012.0056

DOI

http://dx.doi.org/10.1684/mst.2012.0056

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1004130415

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22894893


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