遵守低体积大规模出血协议:来自城市一级创伤中心的经验
Rahul Chaurasia1, Abhinav Kumar2, Narendra Chaudhary2
1Department of Transfusion Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
Asian journal of transfusion science
|November 17, 2025
概括
对大规模出血方案 (MHP) 的坚持是中度的,其中77%的人达到≥50%的坚持. 建议改善血液成分的可用性和输送时间,以获得创伤患者更好的治疗结果.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 管理出血 管理出血
背景情况:
- 有效实施大规模出血协议 (MHP) 是至关重要的.
- 为了满足特定需求,开发了一个机构的低容量MHP.
- 对设计的MHP组件的遵守进行了评估.
研究的目的:
- 评估新设计的土著大规模出血协议 (MHP) 的遵守情况.
- 确定在MHP实施和患者治疗结果方面需要改进的领域.
主要方法:
- 一年来MHP激活的回顾性分析.
- 收集患者人口统计数据,伤害细节和输血数据.
- 对关键MHP步骤的遵守情况的评估和遵守得分的计算.
主要成果:
- 在1.1%的急诊患者中激活了MHP; 76%需要大量输血.
- 77%的MHP激活实现了≥50%的坚持得分.
- 虽然最初的输血是及时的,但红细胞组件的需求有时超过供应,影响了输血比率. 出血性死亡与坚持得分没有联系.
结论:
- 观察到对MHP的适度坚持.
- 改善粘附性需要提高血液成分的可用性,并减少后续包装交付时间.
- 建议将静血附加剂和护理点检测纳入MHP.
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