Blood Banking Considerations in Pediatric Trauma

Wong, Trisha E.; Wiggins-Dohlvik, Katie; Josephson, Cassandra D.; Nicol, Kathleen

doi:10.1097/ta.0000000000003812

J Trauma Acute Care Surg

2022

DOI: 10.1097/ta.0000000000003812

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Blood Banking Considerations in Pediatric Trauma

Trisha E. Wong

Katie Wiggins-Dohlvik

Cassandra D. Josephson

et al.

Abstract: Transfusion in pediatric trauma is complex. Read a concise overview from experienced pediatric blood bankers who have been around the block a few times. Help us help you during your next trauma. #Hemetwitter #Medtwitter #pedtrauma

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2024

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Transfusion Practices in Severely Injured Patients at a Level 1 Trauma Center

Krishna,

Subramanian,

Chaurasia

et al. 2024

Journal of Emergencies, Trauma, and Shock

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Introduction: Acute trauma resuscitation is challenging and disorganized in low- and middle-income countries as there is lack of evidence-based transfusion practices with respect to ratio, volume, trigger, cutoff points for various triggers. This study aims to study the patterns of blood use in various mechanisms of injury, by interfacility transfer status and define triggers for transfusion of various blood components. Prospective observational study, emergency department of level 1 trauma center (August 2017–August 2018). Methods: Demographic, injury, clinical, laboratory, transfusion characteristics, and patient outcomes were collected from electronic hospital records and transfusion service records. We used multivariate logistic regression to identify triggers of transfusion of red blood cells, plasma, platelets (PLTs), cryoprecipitate, and mortality predictors. Results: Among 986 severely injured patients 80% were males, 92% had blunt injuries and commonest trauma was Head. The median length of intensive care unit stay and hospital stay were more in a referred group. Patients brought to center directly received more massive transfusions (56, 13.05% vs. 48, 8.62%). Railway track injuries received the most total median packed red blood cells (PRBCs) units in both groups. The triggers for various blood product transfusions include: Hematocrit < 32.08 for PRBC, PT >16.9 s for plasma, PLT count <130 lakhs for platelets, MAP <89.7 mmHg and PT >18.2 s for cryoprecipitate. Conclusion: Railway track injuries with inferior extremity injuries required maximum transfusion requirements and were a trigger for PRBC, plasma, PLTs, and cryoprecipitate. Smartphone-based apps and transfusion prediction models can be framed based on the triggers and cut points.

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Transfusion Practices in Severely Injured Patients at a Level 1 Trauma Center

Krishna,

Subramanian,

Chaurasia

et al. 2024

Journal of Emergencies, Trauma, and Shock

View full text Add to dashboard Cite

show abstract

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Blood Banking Considerations in Pediatric Trauma

Abstract: Transfusion in pediatric trauma is complex. Read a concise overview from experienced pediatric blood bankers who have been around the block a few times. Help us help you during your next trauma. #Hemetwitter #Medtwitter #pedtrauma

Cited by 1 publication

References 70 publications

Transfusion Practices in Severely Injured Patients at a Level 1 Trauma Center

Transfusion Practices in Severely Injured Patients at a Level 1 Trauma Center

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