Pediatric traumatic hemorrhagic shock consensus conference research priorities

BACKGROUND:Traumatic injury is the leading cause of death in children and adolescents. Hemorrhagic shock remains a common and preventablecause of death in the pediatric trauma patients. A paucity of high-quality evidence is available to guide specific aspects of hemor-rhage control in this population. We sought to identify high-priority research topics for the care of pediatric trauma patients inhemorrhagic shock. METHODS:A panel of 16 consensus multidisciplinary committee members from the Pediatric Traumatic Hemorrhagic Shock Consensus Conferencedeveloped research priorities for addressing knowledge gaps in the care of injured children and adolescents in hemorrhagic shock. Theseideas were informed by a systematic review of topics in this area and a discussion of these areas in the consensus conference. Researchpriorities were synthesized along themes and prioritized by anonymous voting. RESULTS:Eleven research priorities that warrant additional investigation were identified by the consensus committee. Areas of proposed study in-cluded well-designed clinical trials and evaluations, including increasing the speed and accuracy of identifying and treating hemorrhagicshock, defining the role of whole blood and tranexamic acid use, and assessment of the utility and appropriate use of viscoelastic techniquesduring early resuscitation. The committee recommended the need to standardize essential definitions, data elements, and data collection tofacilitate research in this area. CONCLUSION:Research gaps remain in many areas related to the care of hemorrhagic shock after pediatric injury. Addressing these gaps is needed to de-velop improved evidence-based recommendations for the care of pediatric trauma patients in hemorrhagic shock. Copyright (C) 2022 Wolters Kluwer Health, Inc. All rights reserved.