Features  |   September 2018
Is Whole Blood Poised for a Return in Civilian Trauma?
Author Affiliations
  • Evan G. Pivalizza, M.B.Ch.B., FFASA
    Committee on Transplant Anesthesia
    Committee on Patient Blood Management
  • Thomas E. Grissom, M.D., M.S.I.S., FCCM
    Committee on Trauma and Emergency Preparedness
Article Information
Trauma / Burn Care / Features
Features   |   September 2018
Is Whole Blood Poised for a Return in Civilian Trauma?
ASA Monitor 9 2018, Vol.82, 26-27.
ASA Monitor 9 2018, Vol.82, 26-27.
Key Points:
Current standard-of-care civilian trauma resuscitative practices have been forged upon military data and concepts. This includes blood component ratios in massive transfusion protocols (MTPs) which, apart from a large civilian study with potential benefit, are limited by their retrospective nature and potential selection or survival bias.1  Successful use of WB has been reported over the last decade in military scenarios and is being slowly instituted in several large civilian trauma centers in the United States.2  Herein, we briefly review WB, potential applications in civilian trauma care and suggestions for administrators at institutions that wish to develop a WB strategy.
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