Protocols for massive blood transfusion: when and why, and potential complications.

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Abstract

[Indexed for MEDLINE] 6. Surg Clin North Am. 2017 Oct;97(5):1119-1131. doi: 10.1016/j.suc.2017.06.005. Surgical Management of Musculoskeletal Trauma. Stinner DJ(1), Edwards D(2). Author information: (1)Royal School of Mines, Centre for Blast Injury Studies, Imperial College London, Prince Consort Road, Kensington, London SW7 2BP, UK; US Army Institute of Surgical Research, San Antonio, TX, USA. Electronic address: Daniel.stinner@gmail.com. (2)Royal School of Mines, Centre for Blast Injury Studies, Imperial College London, Prince Consort Road, Kensington, London SW7 2BP, UK; Royal Centre for Defence Medicine, Birmingham, UK. Musculoskeletal injuries cause a significant burden to society and can have a considerable impact on patient morbidity and mortality. It was initially thought that these patients were too sick to undergo surgery and later believed that they were too sick not to undergo surgery. The pendulum has subsequently swung back and forth between damage control orthopedics and early total care for polytrauma patients with extremity injuries and has settled on providing early appropriate care (EAC). The decision-making process in providing EAC is reviewed in an effort to optimize patient outcomes following severe extremity trauma. Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.suc.2017.06.005