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
Mikael GellerforsDan Gryth

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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Citations

Dec 1, 2017·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Joost H PetersMichael J R Edwards
Jun 14, 2016·Journal of Racial and Ethnic Health Disparities·Clifford L CrutcherJason D Wilson

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