Strike 2 against whole blood. This time, mortality was 5% higher (but statistically negative) when whole blood was used in the prehospital setting. The TOWAR study
transfusion
10 posts
Another month, another set of articles. Perhaps some are useful. Perhaps some will guide your practice. At least one should completely blow your mind.
It is pretty rare for the phrase “we need more research” to be immediately followed by more research, but that seems to have happened here.v On October 7 I published my post about the HEMOTION trial, looking at transfusion thresholds in traumatic brain injury, and concluding that despite being a […]
Another month, another set of articles. Some clinically relevant. Some just thought provoking. One is more than 100 years old. Yes, I look everywhere for these papers. The BroomeDocs podcast version can be found here: https://broomedocs.com/2024/10/first10em-journal-club-october-2024/
Welcome back to another edition of the research roundup, where we discuss an eclectic collection of articles selected through the very rigorous process of whatever I happened to find interesting in my recent reading. The BroomeDocs podcast version can be found here: https://broomedocs.com/category/podcast/
Throughout the length of my career, we have consistently heard that less is more when it comes to blood transfusions (outside of the critically ill requiring massive transfusion, where the message, correct or not, has been the exact opposite). This has been aided by the rise of intravenous iron, giving […]
Case Your patient is bleeding. A lot. Their vital signs are abnormal. They look very sick. (I am being intentionally vague, because the post is going to look at massive hemorrhage in general, rather than getting into the specifics of any one condition.) This post is a condensed clinical summary […]
Transfusion seems like the simplest intervention in medicine. The patient is losing blood, so let’s put some back in. Not much more complicated than an oil change. Sure, you need to use a specific brand, but as long as the system is topped up, everything should run just fine. Therefore, […]
Over the last decade, I have heard the language around balanced transfusions shift from an ‘interesting new idea’ to the ‘proven standard of care’. Although that is the direction that science is supposed to progress, in this case there is really no science. We only have a single full RCT, […]