Helicopter In-Flight Resuscitation with Freeze-Dried Plasma of A Patient with A High-Velocity Gunshot Wound to the Neck in Afghanistan - A Case Report
Prehospital and disaster medicine(2015)
Abstract
Massive hemorrhage with coagulopathy is one of the leading causes of preventable death in the battlefield. The development of freeze-dried plasma (FDP) allows for early treatment with coagulation-optimizing resuscitation fluid in the prehospital setting. This report describes the first prehospital use of FDP in a patient with carotid artery injury due to a high-velocity gunshot wound (HVGSW) to the neck. It also describes in-flight constitution and administration of FDP in a Medevac Helicopter. Early administration of FDP may contribute to hemodynamic stabilization and reduction in trauma-induced coagulopathy and acidosis. However, large-scale studies are needed to define the prehospital use of FDP and other blood products.
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Key words
fluid resuscitation,military medicine,plasma,prehospital,trauma
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