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Blood banking considerations in pediatric trauma
Trisha E Wong1, Katie Wiggins-Dohlvik, Cassandra D Josephson
1From the Division of Pediatric Hematology and Oncology (T.E.W.) and Department of Pathology (T.E.W.), Oregon Health and Science University, Portland, Oregon; Department of Surgery (K.W.-D.), The University of Texas Health Science Center at San Antonio, San Antonio, Texas; Johns Department of Oncology (C.D.J.), Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, Maryland; Division of Blood Bank and Transfusion Medicine, Department of Pathology (C.D.J.), Hopkins All Children's Hospital, St. Petersburg, Florida; Department of Pathology and Laboratory Medicine (K.K.N.), Nationwide Children's Hospital; and Department of Pathology (K.K.N.), The Ohio State University College of Medicine, Columbus, Ohio.
Abstract:
Transfusion of blood products to a hemorrhaging pediatric trauma patient requires seamless partnership and communication between trauma, emergency department, critical care, and transfusion team members. To avoid confusion and delays, understanding of blood banking principles and mutually agreed upon procedures and policies must be regularly updated as knowledge evolves. Because pediatric patients require specialized considerations distinct from those in adults, this brief review covers transfusion principles, policies, and procedures specific to the resuscitation of pediatric trauma patients.
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