@article{ref1,
title="Usage of blood products in multiple-casualty incidents: the experience of a level I trauma center in Israel",
journal="Archives of surgery (1960)",
year="2008",
author="Soffer, Dror and Klausner, Josef and Bar-Zohar, Dan and Szold, Oded and Schulman, Carl I. and Halpern, Pinchas and Shimonov, Avigail and Hareuveni, Mara and Ben-Tal, Ofira",
volume="143",
number="10",
pages="983-9; discussion 989",
abstract="OBJECTIVE: To predict how much blood will be needed based on the number of injured patients arriving after a multiple-casualty incident. DESIGN: A retrospective study evaluating data collected in 18 consecutive terrorist attacks in the city of Tel Aviv between January 1997 and February 2005. SETTING: A large, urban trauma center. PATIENTS: A total of 986 patients in 18 events. MAIN OUTCOME MEASURES: Number of packed red blood cell (PRBC) units transfused per patient. RESULTS: A total of 332 U of PRBCs were transfused. Half of the PRBC units were administered as massive transfusions to 4.7% of the patients. The number of PRBC units transfused per patient index (PPI) was related to incident size (mean [SD], 0.70 [1.60] to 1.50 [1.60]). The most frequent major blood group transfused was type O (50%). Half of the units of PRBCs were supplied during the first 2 hours. CONCLUSIONS: One unit of blood per evacuated victim is sufficient in a small multiple-casualty incident and 2 U is sufficient in a large multiple-casualty incident. Half of the PRBC units should be blood group O.<p /><p>Language: en</p>",
language="en",
issn="0004-0010",
doi="10.1001/archsurg.143.10.983",
url="http://dx.doi.org/10.1001/archsurg.143.10.983"
}