John D Hesling, Matthew W Paulson, Jerome T McKay, Vikhyat S Bebarta, Kathleen Flarity, Sean Keenan, Andrew D Fisher, Matthew A Borgman, Michael D April, Steven G Schauer
BACKGROUND: Trauma is the leading cause of pediatric mortality in the United States. Often, these patients require supermassive transfusion (SMT), which we define as receipt of >80 mL/kg blood products, double the proposed volume for standard pediatric massive transfusion (MT). Evaluating the blood volumes, injury patterns, clinical findings, and prehospital interventions predictive for SMT are critical to reducing pediatric mortality. We describe the pediatric casualties, injury patterns, and clinical findings that comprise SMT...
January 2022: American Journal of Emergency Medicine