Page 53 - JSOM Spring 2023
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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
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