Page 53 - JSOM Spring 2023
P. 53
Survival to Discharge N Y Y Y Y
Survival to Admission Y Y Y Y Y Diagnosis Trauma, leg amputation GIB
transfused (units)
FFP 1 0 2 1 0
pRBC transfused (units) 1 2 2 1 2 Tox § None None
Diagnosis Trauma, SDH Trauma, GSW GIB GIB Trauma, laceration Hgb † MTP ‡ (g/dL) Y 8.3 Y 12.1
Tox § None Amph, Benzo None None EtOH ED SI 1.1 0.8
MTP ‡ Y Y Y Y Y Transport Time (min) 9 93
Hgb † (g/dL) 8.0 13.5 8.1 4.5 7.6
ED SI 0.9 2.2 0.9 0.7 1.0 Scene Time (min) 21 8
Transport Time (min) 19 43 32 22 10 EMS SI 1.8 1.9
Scene Time (min) 28 34 6 14 6 HI 10 11
EMS SI 1.3 2.2 2.0 0.8 2.0
HI 32 23 5 18 34 T Ambient (°C) 11.1 12.8
T Ambient (°C) 32.8 22.2 7.2 19.4 31.1 ΔT (°C) +0.5 –0.1
ΔT (°C) –0.9 –1.0 +1.4 +0.6 –0.6 T ED * (°C) 36.7 R 36.6 A
T ED * T EMS * (°C) (°C) 35.9 B 36.8 O 35.9 R 36.9 O 34.3 O 32.9 O 35.3 R 34.7 O 35.3 A 35.9 O *Temp source: A = axillary, B = bladder (temp-sensing catheter), O = oral, R = rectal § Toxicological factors: EtOH (ethyl alcohol), amph (amphetamine), benzo (benzodiazepine) T EMS * (°C) 36.2 O 36.7 O *Temp source: A = axillary, B = bladder (temp-sensing catheter), O = oral, R = rectal § Toxicological factors: EtOH (ethyl alcoho
TABLE 5 Hypothermic ED Arrivals Age BMI M/F (yrs) 24 F 44 19 F 36 27 M 54 30 M 65 21 F 58 † Hemoglobin, first-recorded in hospital ‡ Massive Transfusion Protocol initiated in ED HI = Heat index SI = Shock index SDH = Subdural hematoma GSW = Gunshot wound GIB = Gastrointestinal bleeding TABLE 6 Patients Receiving Additional EMS Blood Products Age BMI M/F (yrs) 24 M 41 32 M 54 † Hemoglobin, first-recorded in hospital
Patient
Patient
5
7
6
2
1
3
4
Prehospital Blood Transfusion Effect on Body Temperature | 51

