Page 237 - 2023 SMOG Digital

BLOOD COMPONENT / FRESH

WHOLE BLOOD USE

IMMEDIATE CLINICAL INDICATIONS in trauma patients with SERIOUS INJURIES and
evidence of hemorrhage / shock:
• Systolic blood pressure less than 100mmHg or absence of radial pulse
• Tachycardia greater than 100 beats per minute (BPM) or higher
• One or more major amputations
CLINICAL INDICATIONS:
• Uncontrolled hemorrhage or evidence of hemorrhagic shock
o Trauma patients with amputation (complete or partial with distal circulation
compromise)
o Non-compressible penetrating thoracic, abdominal, and transitional zone
injuries (axilla, inguinal, neck)
o Pelvic Fractures in conjunction with traumatic injury (significant mechanism of
injury)
o Clinical signs of coagulopathy
 Tachycardia, tachypnea, fever, altered mentation, hypoxemia
o Severe hypothermia associated with blood loss
CONTRAINIDICATIONS:
• None
PRIOR TO BLOOD PRODUCT TRANSFUSION:
• Maximal hemorrhage control
• Treatment of suspected tension pneumothorax
o Clinical signs may include: hypotension, hypo-perfusion, diminished or absent
breath sounds. Late signs include: tracheal deviation and distended neck
veins.
• Patent airway or airway control
• IV/IO access
• Hypothermia prevented and/or treated

237