TRAUMA HEMOSTASIS AND OXYGENATION RESEARCH POSITION PAPER ON REMOTE DAMAGE CONTROL RESUSCITATION: DEFINITIONS, CURRENT PRACTICE, AND KNOWLEDGE GAPS

被引:131
作者
Jenkins, Donald H. [1 ]
Rappold, Joseph F. [2 ]
Badloe, John F. [3 ]
Berseus, Olle [4 ]
Blackbourne, Lorne [5 ]
Brohi, Karim H. [6 ,7 ]
Butler, Frank K. [8 ]
Cap, Andrew P. [9 ]
Cohen, Mitchell Jay [10 ]
Davenport, Ross [11 ]
DePasquale, Marc [12 ]
Doughty, Heidi [13 ]
Glassberg, Elon [14 ,15 ]
Hervig, Tor [16 ,17 ]
Hooper, Timothy J. [18 ]
Kozar, Rosemary [19 ]
Maegele, Marc [20 ]
Moore, Ernest E. [21 ]
Murdock, Alan [22 ,23 ]
Ness, Paul M. [24 ]
Pati, Shibani [25 ]
Rasmussen, Todd [26 ]
Sailliol, Anne [27 ]
Schreiber, Martin A. [28 ]
Sunde, Geir Arne [29 ]
van De Watering, Leo M. G. [30 ,36 ]
Ward, Kevin R. [31 ]
Weiskopf, Richard B. [32 ]
White, Nathan J. [33 ]
Strandenes, Geir [34 ,35 ]
Spinella, Philip C.
机构
[1] Mayo Clin, Dept Surg, Rochester, MN 55905 USA
[2] Temple Univ, Sch Med, Dept Surg, Philadelphia, PA 19122 USA
[3] Netherlands Mil Blood Bank, Blood Banking Amer Soc Clin Pathol, Amsterdam, Netherlands
[4] Orebro Univ Hosp, Dept Transfus Med, SE-70182 Orebro, Sweden
[5] US Army Inst Surg Res, San Antonio, TX USA
[6] Royal London Hosp, Barts & London Sch Med, London E1 1BB, England
[7] Royal London Hosp, London E1 1BB, England
[8] Joint Base San Antonio, Joint Trauma Syst, Comm Tact Combat Casualty Care, San Antonio, TX USA
[9] JBSA Ft Sam Houston, US Army Inst Surg Res, Ft Sam Houston, TX USA
[10] Univ Calif San Francisco, Dept Surg, San Francisco, CA USA
[11] Queen Mary Univ London, Barts & London Sch Med, Ctr Trauma Sci, Blizard Inst, London, England
[12] Deployment Med Int, Gig Harbor, DC USA
[13] Transfus Med NHS Blood & Transplant, Birmingham, W Midlands, England
[14] Israel Def Forces, Trauma & Combat Med Branch, Surgeon Gen HQ, Ramat Gan, Israel
[15] Hebrew Univ Jerusalem, Dept Mil Med, Jerusalem, Israel
[16] Univ Bergen, Haukeland Univ Hosp, Blood Bank, N-5020 Bergen, Norway
[17] Univ Bergen, Dept Clin Sci, N-5020 Bergen, Norway
[18] Frenchay Hosp, Dept Anaesthet, UK Def Med Serv, Bristol BS16 1LE, Avon, England
[19] Univ Texas Med Sch Houston, Mem Hermann Hosp, Dept Surg, Houston, TX USA
[20] Merheim Med Ctr, Dept Traumatol Orthoped Surg & Sportsmed Cologne, Cologne, Germany
[21] Univ Colorado Denver, Dept Surg, Denver, CO USA
[22] Air Force Med Operat Agcy, Lackland AFB, TX USA
[23] Univ Pittsburgh, Med Ctr, Div Trauma & Gen Surg, Pittsburgh, PA USA
[24] Johns Hopkins Med Inst, Transfus Med Div, Baltimore, MD 21205 USA
[25] Blood Syst Res Inst, San Francisco, CA USA
[26] Joint Base San Antonio, US Army Inst Surg Res, Ft Sam Houston, TX USA
[27] French Mil Blood Transfus Ctr, Clamart, France
[28] Oregon Hlth & Sci Univ, Portland, OR 97201 USA
[29] Norwegian Air Ambulance Fdn, Drobak, Norway
[30] Ctr Clin Transfus Res, Sanquin Blood Supply, Leiden, Netherlands
[31] Univ Michigan, Michigan Ctr Integrat Res Crit Care, Ann Arbor, MI USA
[32] Univ Calif San Francisco, Dept Anesthesia, San Francisco, CA 94143 USA
[33] Univ Washington, Dept Med, Div Emergency Med, Seattle, WA USA
[34] Haukeland Hosp, Norwegian Naval Special Operat Commando, N-5021 Bergen, Norway
[35] Haukeland Hosp, Dept Immunol & Transfus Med, N-5021 Bergen, Norway
[36] Washington Univ, Dept Pediat, Div Pediat Crit Care, St Louis, MO 63130 USA
来源
SHOCK | 2014年 / 41卷
关键词
Trauma; prehospital; transfusion; mortality; morbidity; resuscitation; FRESH WHOLE-BLOOD; HEMORRHAGIC-SHOCK; ACUTE COAGULOPATHY; TRANEXAMIC ACID; FROZEN PLASMA; HYPOTENSIVE RESUSCITATION; FIBRINOGEN CONCENTRATE; PATHOGEN REDUCTION; IMPROVED SURVIVAL; HEART-SURGERY;
D O I
10.1097/SHK.0000000000000140
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The Trauma Hemostasis and Oxygenation Research Network held its third annual Remote Damage Control Resuscitation Symposium in June 2013 in Bergen, Norway. The Trauma Hemostasis and Oxygenation Research Network is a multidisciplinary group of investigators with a common interest in improving outcomes and safety in patients with severe traumatic injury. The network's mission is to reduce the risk of morbidity and mortality from traumatic hemorrhagic shock, in the prehospital phase of resuscitation through research, education, and training. The concept of remote damage control resuscitation is in its infancy, and there is a significant amount of work that needs to be done to improve outcomes for patients with life-threatening bleeding secondary to injury. The prehospital phase of resuscitation is critical in these patients. If shock and coagulopathy can be rapidly identified and minimized before hospital admission, this will very likely reduce morbidity and mortality. This position statement begins to standardize the terms used, provides an acceptable range of therapeutic options, and identifies the major knowledge gaps in the field.
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页码:3 / 12
页数:10
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