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      Transport Time and Preoperating Room Hemostatic Interventions Are Important : Improving Outcomes After Severe Truncal Injury

      Critical Care Medicine
      Ovid Technologies (Wolters Kluwer Health)

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          Abstract

          <p class="first" id="d3641201e53">Experience in the ongoing wars in Iraq and Afghanistan confirm that faster transport combined with effective prehospital interventions improves the outcomes of patients suffering hemorrhagic shock. Outcomes of patients with hemorrhagic shock and extremity bleeding have improved with widespread use of tourniquets and early balanced transfusion therapy. Conversely, civilian patients suffering truncal bleeding and shock have the same mortality (46%) over the last 20 years. To understand how to decrease this substantial mortality, one must first critically evaluate all phases of care from point of injury to definitive hemorrhage control in the operating room. </p>

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          Author and article information

          Journal
          Critical Care Medicine
          Critical Care Medicine
          Ovid Technologies (Wolters Kluwer Health)
          0090-3493
          2018
          March 2018
          : 46
          : 3
          : 447-453
          Article
          10.1097/CCM.0000000000002915
          29474326
          4f25ac04-d937-4bde-bbac-8154bb815c7f
          © 2018
          History

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