@article{ref1,
title="In-hospital mortality after massive transfusion and motorcycle trauma may predict highest injury severity in a rural level I trauma system",
journal="American surgeon",
year="2023",
author="Olson, Robert and Rhodes, Heather X. and Pepe, Antonio P.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="The leading cause of preventable traumatic death is uncontrolled bleeding. This study aimed to better identify those most likely to experience in-hospital mortality with increasing injury severity scoring (ISS). This is a single-center study of Trauma Registry data, from July 3, 2016, to February 24, 2022. The inclusion criteria were based upon age (≥18 years) and in-hospital mortality. 546 patients (mean age 58) were included in the analysis. There were several significant associations with increasing ISS among those who experienced in-hospital mortality, which included a rising shock index ratio, activation of the massive transfusion protocol, and, most notably, motorcycle trauma. This research reiterates the importance of the &quot;Stop the Bleed&quot; campaign as vital for training laypersons in the life-saving technique for hemorrhage control.<p /> <p>Language: en</p>",
language="en",
issn="0003-1348",
doi="10.1177/00031348231161756",
url="http://dx.doi.org/10.1177/00031348231161756"
}