Whole blood and freeze-dried plasma in Canadian trauma care.

IF 2.2 4区 医学 Q2 SURGERY Canadian Journal of Surgery Pub Date : 2024-10-23 Print Date: 2024-09-01 DOI:10.1503/cjs.006924
Pierre-Marc Dion, Johnathan Mack, Asim Alam, Sebastian Vuong, Jeff Scott, Damien Miller, Andrew Beckett
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Abstract

SummaryThis article highlights the crucial role of blood transfusion in trauma care and explores the historical and contemporary use of whole blood and freeze-dried plasma in Canadian health care. Early use of whole blood and freeze-dried plasma during global conflicts led to advancements in transfusion medicine. The transition to blood component therapy improved transfusion safety and precision. However, there is an increasing interest in using whole blood and freeze-dried plasma, supported by recent evidence suggesting potential benefits over blood component therapy, particularly in trauma cases. Canadian initiatives, such as leukoreduced whole blood production for the military, indicate efforts to address logistical challenges in delivering trauma care, especially in remote areas. Challenges remain, including logistical issues and regulatory complexities, requiring coordinated efforts for effective implementation. Overall, there's growing support for integrating whole blood and freeze-dried plasma into trauma care across Canada.

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加拿大创伤护理中的全血和冻干血浆。
摘要 本文强调了输血在创伤护理中的关键作用,并探讨了全血和冻干血浆在加拿大医疗保健中的历史和当代使用情况。早期在全球冲突中使用全血和冻干血浆推动了输血医学的发展。向血液成分疗法的过渡提高了输血的安全性和精确性。然而,最近有证据表明,使用全血和冻干血浆可能比血液成分疗法更有益处,尤其是在创伤病例中,人们对使用全血和冻干血浆的兴趣与日俱增。加拿大的一些举措,如为军队生产白细胞减少的全血,表明该国正在努力解决在提供创伤救治,特别是在偏远地区提供创伤救治方面的后勤挑战。挑战依然存在,包括后勤问题和监管的复杂性,需要协调努力才能有效实施。总体而言,加拿大各地越来越支持将全血和冻干血浆纳入创伤救治。
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来源期刊
CiteScore
3.00
自引率
8.00%
发文量
120
审稿时长
6-12 weeks
期刊介绍: The mission of CJS is to contribute to the meaningful continuing medical education of Canadian surgical specialists, and to provide surgeons with an effective vehicle for the dissemination of observations in the areas of clinical and basic science research.
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