TY  - JOUR
PY  - 2008//
TI  - Usage of blood products in multiple-casualty incidents: the experience of a level I trauma center in Israel
JO  - Archives of surgery (1960)
A1  - Soffer, Dror
A1  - Klausner, Josef
A1  - Bar-Zohar, Dan
A1  - Szold, Oded
A1  - Schulman, Carl I.
A1  - Halpern, Pinchas
A1  - Shimonov, Avigail
A1  - Hareuveni, Mara
A1  - Ben-Tal, Ofira
SP  - 983
EP  - 9; discussion 989
VL  - 143
IS  - 10
N2  - 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>
LA  - en
SN  - 0004-0010
UR  - http://dx.doi.org/10.1001/archsurg.143.10.983
ID  - ref1
ER  -