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Emergency!

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Immunohematology and Transfusion Medicine

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Abstract

A 22-year-old male is brought to the emergency department after sustaining a motor vehicle accident and hemorrhagic shock. The massive transfusion protocol is activated, and the patient receives two trauma packs (each trauma pack contains five units of uncrossmatched group O-negative red blood cells (RBCs), five units of AB plasma, and one unit of (any ABO type) apheresis platelets). Subsequently, a type and screen sample (ethylenediaminetetraacetic acid, EDTA anticoagulant) is submitted to the blood bank.

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Reference

  1. Holcomb JB, Tilley BC, Baraniuk S, et al. PROPPR Study Group. Transfusion of plasma, platelets, and red. blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma. The PROPPR randomized clinical trial. JAMA. 2015;313(5):471–82.

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Recommended Reading

  1. Borgman MA, Spinella PC, Perkins JG, et al. The ratio of blood products transfused affects mortality in patients receiving massive transfusions at a combat support hospital. J Trauma. 2007;63(4):805–13.

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  2. Young PP, Cotton BA, Goodnough LT. Massive transfusion protocols for patients with substantial hemorrhage. Transfus Med Rev. 2011;25(4):293–303.

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  3. Lal DS, Shaz BH. Massive transfusion: blood component ratios. Curr Opin Hematol. 2013;20(6):521–5.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. St. Luke’s-Roosevelt Hospital and Beth Israel Medical Centers Department of Pathology, Blood Bank and Transfusion Service, The Mount Sinai Health System, New York, New York, USA

    Mark T. Friedman

  2. Department of Transfusion Medicine, National Institutes of Health Clinical Center, Bethesda, Maryland, USA

    Kamille A. West

  3. St. Luke’s-Roosevelt Hospital and Beth Israel Medical Centers Department of Pathology, The Mount Sinai Health System, New York, New York, USA

    Peyman Bizargity

Authors
  1. Mark T. Friedman
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  2. Kamille A. West
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  3. Peyman Bizargity
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Correspondence to Mark T. Friedman .

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© 2016 Springer International Publishing Switzerland

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Friedman, M., West, K., Bizargity, P. (2016). Emergency!. In: Immunohematology and Transfusion Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-22342-1_29

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  • DOI: https://doi.org/10.1007/978-3-319-22342-1_29

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22341-4

  • Online ISBN: 978-3-319-22342-1

  • eBook Packages: MedicineMedicine (R0)

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