Publications by authors named "Michael B Weykamp"
Background: Large trauma centers have protocols for the assessment of injury and triaging of care with attempts to over-triage to ensure adequate care for all patients. We noted that a significant number of patients undergo a second massive transfusion protocol (MTP) activation in the first 24 h of care and conducted a retrospective cohort study of patients involved over a 3-year period.
Methods: Transfusion service records of MTP activations 2019-2021 were linked to Trauma Registry records and divided into cohorts receiving a single versus a reactivation of the MTP.
Article Synopsis
- Researchers aimed to define high-intensity resuscitation (HIR) practices during the posthemostasis phase of care for severely injured patients, using data available at ICU admission to identify those needing HIR.
- A study analyzed clinical data from 605 injured patients admitted to the ICU after emergency procedures, finding that 36% required HIR based on specific blood product use and vital signs.
- The predictive model developed through logistic regression showed a strong ability to identify HIR needs, with an area under the receiver operating curve of 0.82, indicating effective prediction based on variables like shock index and lactate levels.
Introduction: Although resuscitation guidelines for injured patients favor blood products, crystalloid resuscitation remains a mainstay in prehospital care. Our understanding of contemporary prehospital crystalloid (PHC) practices and their relationship with clinical outcomes is limited. Methods: The Pragmatic, Randomized Optimal Platelet and Plasma Ratios trial data set was used for this investigation.
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