Journal ArticleDOI
Identifying risk for massive transfusion in the relatively normotensive patient: utility of the prehospital shock index.
Marianne J. Vandromme,Russell Griffin,Jeffrey D. Kerby,Gerald McGwin,Loring W. Rue,Jordan A. Weinberg +5 more
TLDR
Prehospital SI>0.9 identifies patients at risk for MT who would otherwise be considered relatively normotensive under current prehospital triage protocols, and the risk forMT rises substantially with elevation of SI above this level.Abstract:
Background:In the prehospital environment, the failure of medical providers to recognize latent physiologic derangement in patients with compensated shock may risk undertriage. We hypothesized that the shock index (SI; heart rate divided by systolic blood pressure [SBP]), when used in the prehospitaread more
Citations
More filters
Journal ArticleDOI
The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition
Rolf Rossaint,Bertil Bouillon,Vladimir Cerny,Timothy J Coats,Jacques Duranteau,Enrique Fernández-Mondéjar,Daniela Filipescu,Beverley J. Hunt,Radko Komadina,Giuseppe Nardi,Edmund Neugebauer,Yves Ozier,Louis Riddez,Arthur Schultz,Jean Louis Vincent,Donat R. Spahn +15 more
TL;DR: The guideline now recommends that patients be transferred directly to an appropriate trauma treatment centre and encourages use of a restricted volume replacement strategy during initial resuscitation, and may also serve as a basis for local implementation.
Journal ArticleDOI
The Shock Index revisited – a fast guide to transfusion requirement? A retrospective analysis on 21,853 patients derived from the TraumaRegister DGU®
Manuel Mutschler,Ulrike Nienaber,Matthias Münzberg,Christoph Wölfl,Herbert Schoechl,Thomas Paffrath,Bertil Bouillon,Marc Maegele +7 more
TL;DR: SI upon emergency department arrival may be considered a clinical indicator of hypovolemic shock in respect to transfusion requirements, hemostatic resuscitation and mortality and the four SI groups have been shown to equal the recently suggested BD-based classification.
Serum Lactate and Base Deficit as Predictors of Mortality in Normotensive Elderly Blunt Trauma Patients
TL;DR: Both lactate and BD were associated with significantly increased mortality in normotensive elderly blunt trauma patients and, because of the high baseline mortality rates in elderly trauma patients, "normal" lactate does not offer complete reassurance to the clinician.
Journal ArticleDOI
A Systematic Review of the Relationship between Blood Loss and Clinical Signs
Rodolfo C. Pacagnella,João Paulo Souza,Jill Durocher,Pablo Perel,Jennifer Blum,Beverly Winikoff,Ahmet Metin Gülmezoglu +6 more
TL;DR: A substantial variability in the relationship between blood loss and clinical signs is found, making it difficult to establish specific cut-off points for clinical signs that could be used as triggers for clinical interventions, but the shock index can be an accurate indicator of compensatory changes in the cardiovascular system due to blood loss.
Journal ArticleDOI
Pediatric specific shock index accurately identifies severely injured children.
Shannon N. Acker,James T. Ross,David A. Partrick,Suhong Tong,Denis D. Bensard,Denis D. Bensard +5 more
TL;DR: A pediatric specific shock index (SIPA) more accurately identifies children who are most severely injured, have intraabdominal injury requiring transfusion, and are at highest risk of death when compared to shock index unadjusted for age.
References
More filters
Journal ArticleDOI
Early Prediction of Massive Transfusion in Trauma: Simple as ABC (Assessment of Blood Consumption)?
Timothy C. Nunez,Igor V. Voskresensky,Lesly A. Dossett,Ricky Shinall,William D. Dutton,Bryan A. Cotton,Bryan A. Cotton +6 more
TL;DR: The ABC score, which uses nonlaboratory, nonweighted parameters, is a simple and accurate in identifying patients who will require MT as compared with those previously published scores.
Journal ArticleDOI
Trauma Associated Severe Hemorrhage (TASH)-Score: probability of mass transfusion as surrogate for life threatening hemorrhage after multiple trauma.
Nedim Yücel,Rolf Lefering,Marc Maegele,Matthias Vorweg,Thorsten Tjardes,Steffen Ruchholtz,Edmund Neugebauer,Frank Wappler,Bertil Bouillon,Dieter Rixen +9 more
TL;DR: In this paper, a simple scoring system that allows an early and reliable estimation for the probability of mass transfusion (MT) as a surrogate for life threatening hemorrhage following multiple trauma was developed.
Journal ArticleDOI
Serum lactate and base deficit as predictors of mortality and morbidity.
TL;DR: Elevated initial and 24-hour lactate levels are significantly correlated with mortality and appear to be superior to corresponding base deficit levels.
Journal ArticleDOI
A Comparison of the Shock Index and Conventional Vital Signs to Identify Acute, Critical Illness in the Emergency Department
TL;DR: The SI may be useful to evaluate acute critical illness in the ED with apparently stable vital signs and an abnormal elevation of the SI to more than 0.9 was associated with an illness that was treated immediately, admission to the hospital, and intensive therapy on admission.
Journal ArticleDOI
Resuscitation of the critically III in the ED: Responses of blood pressure, heart rate, shock index, central venous oxygen saturation, and lactate
TL;DR: It was concluded that additional therapy is required in the majority of critically ill patients to restore adequate systemic oxygenation after initial resuscitation and hemodynamic stabilization in the ED and the measurement of ScvO2 and Lact can be utilized to guide this phase of additional therapy in theED.