Analysis of Anatomical Localization and Severity of Injury in Patients with Blood Transfusion in Urban Terrain Hospital

Eksert, Sami; Ünlü, Aytekin; Aydın, Fevzi Nuri; Kaya, Murtaza; Aşık, Mehmet Burak; Kantemir, Ali; Öztaş, Muharrem; Keklikçi, Kenan; Sir, Ender

doi:10.14744/tjtes.2020.94789

Cited by 2 publications

(4 citation statements)

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“…Eksert et al . [29] showed that torso injuries constituted 93·3% of MT in military settings and 71·4% of MT were due to thoracic and thoraco‐abdominal injuries. Outcome studies of trauma patients focus on the FFP: RBCs: Platelet ratios and established MTPs.…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 3%-5% of civilian and 2Á4%-10% of military trauma patients are expected to require MT [27][28][29][30][31]. Eksert et al [29] showed that torso injuries constituted 93Á3% of MT in military settings and 71Á4% of MT were due to thoracic and thoraco-abdominal injuries. Outcome studies of trauma patients focus on the FFP: RBCs: Platelet ratios and established MTPs.…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 3%–5% of civilian and 2·4%–10% of military trauma patients are expected to require MT [27–31]. Eksert et al .…”

Section: Discussionmentioning

confidence: 99%

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MATRA‐A: A study on massive transfusion

Ünlü¹,

Yılmaz²,

Akbasli

et al. 2021

Vox Sanguinis

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Background We use massive transfusion in various clinical conditions and it is associated with high mortality. Although some massive transfusion protocols improve patient outcomes, the clinical circumstances requiring it are not well defined. Methods MATRA‐A is a multicenter retrospective study. Six University and Training Research Hospitals in Ankara participated in the study. We collected clinical data on patients (>18 years) who received massive transfusions (≥10 units/24 h) from 2017 through 2019. Results Overall, 167 (0·27% of transfused patients) received a massive transfusion of 2586 units of red blood cells (1·5% of total RBCs transfused). The median interquartile range values for RBCs, fresh frozen plasma (FFP) and platelets were 13 (11–176), 16 (9–33) and 4 (0–11), respectively. Surgical patients received 90% of massive transfusions. The most common clinical indications for massive transfusion were cardiovascular diseases (42·6%), trauma (20·3%) and malignancies (11%). FFP: RBC: Platelets ratio was 1·9:1:0·5. The overall and trauma‐related mortality rates were 57·4% and 61·8%, respectively. The hospital mortality rates of trauma patients that received high vs. low ratio (FFP: RBCs > 1:1·5 vs. ≤1:1·5) transfusions were 47·6% and 86·6% and the difference was statistically significant (P = 0·03). Conclusion Cardiovascular diseases and trauma occasion are the most common causes of massive transfusion. It is infrequent in clinical settings and is associated with high mortality rates. Additionally, in massively transfused trauma patients, a high FFP:RBCs ratio seems to be associated with increased survival. Focused prospective studies are required to define the areas that need improvement on a national scale.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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MATRA‐A: A study on massive transfusion

Ünlü¹,

Yılmaz²,

Akbasli

et al. 2021

Vox Sanguinis

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“…Stopping junctional bleeding is particularly challenging and requires the use of specifically designed junctional tourniquets. [ 4 - 7 ] Junctional tourniquet application times (AT) are generally longer than conventional tourniquets and require a combat medic for application. Hence, junctional injuries and associated bleeding have been a critical research field.…”

Section: Introductionmentioning

confidence: 99%

Results of combat medic junctional tourniquet training: a prospective, single-blind, randomized, cross-over study

Kaymak

2024

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Bleeding remains the leading cause of potentially preventable deaths both in military and civilian pre-hospital trauma settings. Conventional extremity tourniquets do not control bleeding if an iliac artery or a common femoral artery is injured. Stopping junctional bleeding is particularly challenging and requires the use of specifically designed junctional tourniquets. SAM ® Junctional Tourniquet (SJT ® , United States of America) and Tactical Abdominal Junctional Tourniquet (T-AJT ® , Fora Group Türkiye) have been actively used by Turkish security forces. This study questioned the effect of training on combat medics’ successful junctional tourniquet applications and application times (AT). METHODS: Our research on two different junctional tourniquet models was designed as a prospective randomized, crossover, single-blinded study. All 40 participants in the study were attendees of a 12-week combat medic training course with updated medical approvals, which were used as an eligibility criterion. Randomization was performed by drawing T-AJT®-SJT cards. The study consisted of pre-training and after-training tourniquet application phases. In each study phase, all participants’ AT and the presence or absence of arterial flow were recorded for each group. Finally, the combat medics were presented with a 6-question survey. RESULTS: Although training increased successful T-AJT ® application rates, training was not statistically significantly associated with successful applications for any tourniquet types (p>0.05). The pre-training phase ATs for SJT ® and T-AJT ® were 55±11.8 and 93.8±2.9 seconds, respectively, and the difference was statistically significantly different (p<0.001). Likewise, after-training phase ATs for SJT ® and T-AJT ® were 49±22.6 and 79.2±17.5 seconds, respectively, and participants’ SJT ® ATs were significantly shorter (p<0.001). Overall, when participants’ applied any of the tourniquet unsuccessfully, the odds of participants’ lower Visual Analogue Scale scores were 0.2 (95% CI [0.08, 0.49]. p<0.001). CONCLUSION: Our study basically investigates the effects of training on effective tourniquet application. Unfortunately, our after-training success rates remained unsatisfactory when compared to other studies. This is also the first study on T-AJT ® tourniquet application, and further studies on its efficacy are also required.

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Analysis of Anatomical Localization and Severity of Injury in Patients with Blood Transfusion in Urban Terrain Hospital

Cited by 2 publications

References 0 publications

MATRA‐A: A study on massive transfusion

MATRA‐A: A study on massive transfusion

Results of combat medic junctional tourniquet training: a prospective, single-blind, randomized, cross-over study

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