What are the advantages and disadvantages of whole blood transfusions compared to component transfusions in military trauma?
Best insight from top research papers
Whole blood transfusions have been used in military trauma patients and have shown numerous advantages compared to component transfusions. The use of whole blood as the first infusion solution in trauma patients has been supported by evidence from the Multidisciplinary Clinical Hospital of Emergency and Intensive Care in Lviv . In combat settings, where hemorrhaging patients are common, there is no general threshold where blood product transfusion becomes unbeneficial to survival . Recent conflicts in Iraq and Afghanistan have challenged the belief that whole blood transfusions are not the standard of care and have shown potential as the superior transfusion product for adult trauma patients . The Deployed Hemostatic Emergency Resuscitation of Traumatic Exsanguinating Shock (Deployed HEROES) study aims to provide a comprehensive analysis of military resuscitation practices and will inform optimal resuscitation strategies, potentially impacting combat mortality .
Answers from top 5 papers
More filters
| Papers (5) | Insight |
|---|---|
| The paper does not provide information on the advantages and disadvantages of whole blood transfusions compared to component transfusions in military trauma. | |
| The paper does not provide a direct comparison of the advantages and disadvantages of whole blood transfusions compared to component transfusions in military trauma. | |
| The paper does not provide information on the advantages and disadvantages of whole blood transfusions compared to component transfusions in military trauma. | |
| The provided paper does not provide information about the advantages and disadvantages of whole blood transfusions compared to component transfusions in military trauma. | |
| The paper does not provide information about the advantages and disadvantages of whole blood transfusions compared to component transfusions in military trauma. |
Related Questions
What is the role of transfusion in sickle cell disease?5 answersTransfusion plays a crucial role in the management of acute and chronic complications of sickle cell disease (SCD). It is used to increase blood oxygen carrying capacity and decrease the relative amount of hemoglobin S (HbS) to hemoglobin A (HbA) in order to mitigate vaso-occlusion in small blood vessels. Transfusion can be performed through simple transfusion, partial manual red blood cell (RBC) exchange, or automated RBC exchange by apheresis, depending on the clinical indication and the desired level of HbS reduction. Complications of transfusion include alloimmunization, iron overload, and infections. To minimize these complications, RBC antigen matching, iron chelation, and prophylactic Rh and K antigen RBC matching are recommended. Transfusion is also used in specific situations such as stroke prevention, pregnancy, pre-surgery, and transfusion support for curative therapies. Individualized treatment plans and continuous evaluation of clinical indications are essential for optimizing care for patients with SCD.
What are the advantages and disadvantages of using whole blood in trauma care in the UK?4 answersWhole blood (WB) transfusion in trauma care has both advantages and disadvantages. The advantages of using WB include the maintenance of coagulation factors, the lack of subsequent thrombocytopenia, and the reduction of infused anticoagulant. Additionally, WB has been shown to potentially reduce mortality rates in traumatic massive hemorrhage compared to the use of blood components alone. However, there are also disadvantages to consider. WB transfusion poses a risk for hemolysis when the product is non-ABO identical to the recipient, as well as other immunologic risks such as D alloimmunization and transfusion-related acute lung injury (TRALI). Furthermore, logistical issues may present a barrier to the implementation of WB transfusion in trauma care. Overall, while WB transfusion has potential benefits, further research and information are needed to confirm its efficacy and safety in the UK trauma care setting.
What are the benefits and risks of paying blood donors?2 answersPaying blood donors has both benefits and risks. From an economic perspective, paying donors can help increase the blood supply and improve the balance between supply and demand. However, there are concerns about the potential negative effects of paying donors. Some studies suggest that paying donors could decrease altruistic motivations and quality of blood donations. Additionally, paid donors have been found to have higher rates of infectious disease markers compared to unpaid donors. This is particularly concerning during the "window-period" when infectious donations may go undetected. While additional safety measures and viral-inactivation steps can mitigate some risks, not all viruses are inactivated and paid donors may have higher frequencies of markers for emerging agents. Overall, the effectiveness and ethical implications of paying blood donors remain open questions.
What are the long-term effects of blood transfusion in SCD?2 answersBlood transfusion in SCD patients has been studied to understand its long-term effects. One study found that transfusing C, E, K blood type negative (CEKneg) packed red blood cell (pRBC) units reduced transfusion reactions and alloantibody formation. Another study conducted a retrospective cohort analysis and found that receipt of a blood transfusion was independently predictive of mortality, with a dose-response relationship between the amount of blood components received and a reduction in subsequent length of survival. However, this study also reported that posttransfusion mortality due to underlying disease was lower than previously reported in look-back investigations. Overall, these findings suggest that blood transfusion in SCD patients can have both positive and negative long-term effects, and further research is needed to fully understand the impact of transfusion on patient outcomes.
What are the benefits and risks of allogeneic RBCs in transfusion?5 answersTruyền hồng cầu dị sinh (RBC) có cả lợi ích và rủi ro. Những lợi ích bao gồm cung cấp hỗ trợ quan trọng cho bệnh nhân mắc bệnh hồng cầu hình liềm (SCD) và cải thiện oxy hóa mô ở bệnh nhân thiếu máu nặng. Tuy nhiên, cũng có những rủi ro liên quan đến truyền hồng cầu dị sinh. Những rủi ro này bao gồm sự phát triển của dị kháng thể hồng cầu, có thể gây khó khăn cho việc tìm các hồng cầu tương thích để truyền máu trong tương lai và làm tăng nguy cơ phản ứng truyền máu]. Truyền máu dị sinh cũng có liên quan đến việc tăng nguy cơ nhiễm trùng bệnh viện, kết quả xấu đi và tác dụng ức chế miễn dịch. Điều quan trọng là phải cân nhắc những lợi ích tiềm năng so với những rủi ro này và xem xét các chiến lược thay thế, chẳng hạn như chính sách truyền máu hạn chế và đánh giá oxy hóa mô không xâm lấn, để hướng dẫn các quyết định truyền máu và giảm thiểu tác dụng phụ]].
What is the advantage of blood doping vs EPO?7 answers