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Massive transfusion without major complications after trauma.

S Brotman, C Lamonica, R A Cowley

The American Journal of Emergency Medicine

|November 1, 1986

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A severe degloving injury case required massive blood transfusions. The patient survived extensive trauma and recovered fully, returning to work.

Area of Science:

Trauma Surgery
Emergency Medicine
Critical Care

Background:

Blunt trauma can cause severe degloving injuries and open pelvic fractures.
Abdominal evisceration presents a significant surgical challenge.

Observation:

A patient sustained a massive degloving injury of the trunk with an open pelvic fracture and abdominal contents evisceration.
This case involved extensive hemorrhage requiring massive transfusion support.

Findings:

The patient received 173 units of packed red blood cells and 176 units of fresh frozen plasma within the initial 30 hours.
Despite the severity of the trauma and transfusion requirements, the patient achieved a full recovery.

Implications:

This case highlights the potential for survival and recovery from extreme blunt force trauma with massive hemorrhage.

Related Experiment Videos

Aggressive resuscitation and multidisciplinary trauma care are crucial for managing complex, life-threatening injuries.

Successful outcomes are possible even with extraordinary transfusion volumes in severe trauma cases.