Hematocrit as a predictor of significant injury after penetrating trauma

Paradis, Norman A.; Balter, Sharon; Davison, Christopher; Simon, Gary L.; Rose, Michael I.

doi:10.1016/s0735-6757(97)90001-2

Cited by 39 publications

(34 citation statements)

References 5 publications

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“…The value of initial Hct for predicting injury requiring surgical intervention was examined in 60 patients, but the sensitivity (60%) and specificity (73%) were relatively low. 21 However, Hct Ͻ30 is a predictor of major pelvic fracture-related hemorrhage in the context of significant tachycardia and an abnormal pelvic radiograph. 22 The aforementioned study by Bruns et al also indicated a significant correlation between a Hb Ͻ10 and the need for intervention to stop bleeding.…”

Section: Discussionmentioning

confidence: 99%

“…Others confirm that serial Hct measurements as early as 15 or 30 minutes apart are specific predictors of bleeding. 21 However, there is no consensus about how to interpret serial measurements in the context of administration of large amounts of intravenous fluids, or the magnitude of the change in Hct required to effectively predict ongoing hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

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Initial hematocrit in trauma

Ryan

Thorson

Otero

et al. 2012

The Journal of Trauma and Acute Care Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Initial hematocrit in trauma

Ryan

Thorson

Otero

et al. 2012

The Journal of Trauma and Acute Care Surgery

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“…A single Hematocrit or hemoglobin measurement as an isolated laboratory marker for severity of hemorrhage is not recommended and repeated testing is advisable (Grade 1B) [40,41].…”

Section: Discussionmentioning

confidence: 99%

Literature Review for Management of Massive Hemorrhage

Aljedani¹

2016

HTIJ

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Introduction: Management of massive hemorrhage has been advanced in the last decade and the survival rate of patients who suffered from massive hemorrhage had been improved. Evidence-based recommendations are required to guide the management of such situations, which when implemented may improve patient outcomes.Methods: Data were collected by review for articles, clinical trials and guidelines. Searches were restricted to articles written in English that were published during the period January 1988 through August 2015. The key recommendations in this article were made based on The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. Discussion: Over the recent years, massive hemorrhage is been managed by blood components transfusion and surgical or radiological intervention as applicable. With the advanced laboratory assays and point of care tests, surgical and radiological intervention methods and the availability of factor concentrates preparations, the survival of patients with massive hemorrhage has been improved significantly. Conclusion:This article discusses the available evidences and recommendations regarding management of patients with massive hemorrhage.

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“…ISS 15 or less has previously been used in the literature to define minor injury [10]. Blood transfusion [11] requirement and decrease in hematocrit [12] have been shown to be accurate indicators of major injury in earlier studies. In earlier studies in our center, trauma patients without these criteria (minor injury) have a mortality rate of less than 1% [13].…”

Section: Discussionmentioning

confidence: 99%