BLOOD MANAGEMENT IN TRAUMATIC RESUSCITATION

Abstract

Trauma related hemorrhage ranks among the top preventable causes of death. Traumatic coagulopathy, observed in approximately one-third of patients with hemorrhage, contributes to increased mortality rates.To effectively manage bleeding and promptly administer appropriate blood products, a systematic approach is essential. Implementing pre-hospital restrictive fluid therapy, antifibrinolytic treatment, and targeted blood product administration based on post-admission laboratory tests enhances the chances of successful outcomes. This review aims to provide insights into the recognition of major bleeding and the appropriate administration of blood products, guided by current evidence.

Keywords

• Trauma
• Trauma induced coagulopathy
• Blood transfusion

TRAVMATİK RESÜSİTASYONDA KAN YÖNETİMİ

Abstract

Travmaya bağlı hemoraji, önlenebilir ölümler arasında ilk sıralarda yer almaktadır. Kan kaybıyla birlikte hastaların 1/3’ünde görülebilen travmatik koagülopati mortalite oranlarını artırmaktadır. Kanamanın kontrol altına alınmasıyla birlikte hızlı ve uygun kan ürünlerinin verilmesini sağlayabilmek için sistematik bir yaklaşım gerekmektedir. Hastane öncesi kısıtlayıcı sıvı tedavisi, antifibrinolitik tedavi, hastaneye kabul sonrası laboratuar testleriyle hedefe yönelik kan ürünlerinin uygulanması başarı şansını artırmaktadır. Bu derlemede, majör kanamanın tanınması, uygun laboratuar testleriyle hangi kan ürünlerinin uygulanması gerektiği mevcut kanıtlar eşliğinde aktarılmaya çalışılmıştır.

Keywords

• Travma
• Travma ilişkili Koagülopati
• Kan Transfüzyonu

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