BLOOD TRANSFUSION IN THE MANAGEMENT OF THOSE INJURED: INDICATORS BASING ON THE INDIVIDUAL APPROACH IN THE POST-SHOCK PERIODS OF TRAUMA (report two)

Abstract

Goal of the study: to develop the tactical score system for indicators for blood transfusions in those injured with the acute massive blood loss of extremely severe degree in the post shock period of trauma. Research methods included evaluation by score system of severity of trauma and patients' state and their relevant changes by the admission to hospital. Main patients' survival functions were monitored and clinical laboratory tests were performed. Results. Expansion of indicators for repeated blood transfusions in the post-shock period of trauma in those injured with the acute massive blood loss is not accompanied by increase of blood transfusion volume in general. The frequency of complications related to the syndrome of massive blood transfusions does not increase. Applying tactics of transfusion therapy with the use of developed tactic score of military field surgery and blood transfusion (Intensive Care Department) in those with the acute massive blood loss of extremely severe degree is accompanied by the fast improvement of hemodynamics, tissue respiration, and reduction of staying in the intensive care department.

Keywords

• acute blood loss
• severe concomitant injury
• blood transfusion