Trauma Care Webinar: Whole Blood Transfusion for Combat Casualties. Presented by David Naumann
1.2 هزار بار بازدید -
12 ماه پیش
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Synopsis:
The notion of Damage Control Resuscitation (DCR) has its roots in the context of armed conflict, where it was developed to address haemorrhagic shock resulting from trauma. DCR has now found its place in civilian medical practice. Its fundamental principles encompass haemostatic resuscitation through blood replacement and early damage control surgery, aimed at countering the physiological insults of acidosis, hypothermia, coagulopathy, hypocalcaemia, and hyperkalaemia. The transfusion of blood products in DCR is accomplished either in ratios that closely mimic whole blood or by utilizing whole blood itself, which military doctrine suggests is the most efficacious blood product for resuscitation in such situations.
Recent findings from a systematic review indicate that "walking blood banks" have been employed to donate thousands of units of fresh whole blood (FWB) during conflict with outcomes equivalent to those obtained through blood component transfusion. In austere, far forward, or warzone settings where resource and logistical constraints are commonplace, FWB appears to be an attractive resilience measure. Furthermore, stored whole blood is increasingly being supplied for use in military and civilian casualties.
However, there is evidence to suggest that prompt surgical control of bleeding may reduce the need for blood products, resulting in positive outcomes even when haemoglobin concentrations are at levels that would traditionally be considered under-transfused.
About David:
Lt Col David N Naumann MA PhD FRCS is a general surgeon in the UK Defence Medical Services, with an interest in combat casualty care, haemorrhagic trauma and damage control resuscitation. He is an Associate Clinical Professor at the University of Birmingham and Editorial Board member at BMJ Military Health, BJS and BJS Open. For his PhD research he investigated the early microcirculatory dysfunction following traumatic haemorrhage.
#TraumaCareWebinar
All proceeds go back to Trauma Care, which allows us to continue to bring you great free CPD content.
You can also become a member over at www.traumacare.org.uk, from just £3 per month, and get access to our entire back catalogue of webinars, plus, all your CPD Certificates for free!
Synopsis:
The notion of Damage Control Resuscitation (DCR) has its roots in the context of armed conflict, where it was developed to address haemorrhagic shock resulting from trauma. DCR has now found its place in civilian medical practice. Its fundamental principles encompass haemostatic resuscitation through blood replacement and early damage control surgery, aimed at countering the physiological insults of acidosis, hypothermia, coagulopathy, hypocalcaemia, and hyperkalaemia. The transfusion of blood products in DCR is accomplished either in ratios that closely mimic whole blood or by utilizing whole blood itself, which military doctrine suggests is the most efficacious blood product for resuscitation in such situations.
Recent findings from a systematic review indicate that "walking blood banks" have been employed to donate thousands of units of fresh whole blood (FWB) during conflict with outcomes equivalent to those obtained through blood component transfusion. In austere, far forward, or warzone settings where resource and logistical constraints are commonplace, FWB appears to be an attractive resilience measure. Furthermore, stored whole blood is increasingly being supplied for use in military and civilian casualties.
However, there is evidence to suggest that prompt surgical control of bleeding may reduce the need for blood products, resulting in positive outcomes even when haemoglobin concentrations are at levels that would traditionally be considered under-transfused.
About David:
Lt Col David N Naumann MA PhD FRCS is a general surgeon in the UK Defence Medical Services, with an interest in combat casualty care, haemorrhagic trauma and damage control resuscitation. He is an Associate Clinical Professor at the University of Birmingham and Editorial Board member at BMJ Military Health, BJS and BJS Open. For his PhD research he investigated the early microcirculatory dysfunction following traumatic haemorrhage.
#TraumaCareWebinar
12 ماه پیش
در تاریخ 1402/05/19 منتشر شده
است.
1,253
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