Publications by Tanya Trevilian

Publications by authors named "Tanya Trevilian"

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Society of Critical Care Medicine Guidelines for the Treatment of Heat Stroke.

Jeffrey F Barletta Tina L Palmieri Shari A Toomey Fayez AlShamsi Rebecca L Stearns Tanya Trevilian

Crit Care Med

February 2025

Rationale: Predicted increases in heat-related weather phenomena will result in increasing heat exposures and heat injuries, like heat stroke. Prompt recognition, early intervention, and evidence-based management are necessary to optimize outcomes.

Objectives: The objective of these guidelines was to develop evidence-based recommendations for the treatment of patients with heat stroke.

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Executive Summary: Society of Critical Care Medicine Guidelines for the Treatment of Heat Stroke.

Jeffrey F Barletta Tina L Palmieri Shari A Toomey Fayez AlShamsi Rebecca L Stearns Tanya Trevilian

Crit Care Med

February 2025

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Prevalence and outcomes of high versus low ratio plasma to red blood cell resuscitation in a multi-institutional cohort of severely injured children.

Steven C Mehl Adam M Vogel Amy E Glasgow Suzanne Moody Meera Kotagal Tanya Trevilian

J Trauma Acute Care Surg

September 2024

Article Synopsis

This study investigates the effects of high ratio fresh frozen plasma (FFP) to red blood cell (RBC) transfusions in children experiencing shock due to trauma, aiming to clarify their outcomes compared to low ratio transfusions.
An analysis of data from 135 injured children showed that while more severe injuries were present in the high ratio group, there was no significant difference in mortality rates or extended hospital stays between those receiving high and low ratios of FFP/RBC.
The findings indicate that high ratio FFP/RBC transfusion does not lead to worse outcomes, highlighting variability in massive transfusion protocols across different medical institutions.

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Crystalloid volume is associated with short-term morbidity in children with severe traumatic brain injury: An Eastern Association for the Surgery of Trauma multicenter trial post hoc analysis.

Taleen A MacArthur Adam M Vogel Amy E Glasgow Suzanne Moody Meera Kotagal Tanya Trevilian

J Trauma Acute Care Surg

July 2023

Article Synopsis

This study analyzed injured children to compare those with severe traumatic brain injury (sTBI) to those without, focusing on clinical and resuscitation differences.
Results revealed that children with sTBI had lower initial hemoglobin levels, higher injury severity, and required more intensive medical support, including ventilation and ICU care.
It was found that sTBI patients received more resuscitation fluids, and those getting crystalloid boluses had longer hospital stays and more complications compared to those who didn’t.

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Timing and volume of crystalloid and blood products in pediatric trauma: An Eastern Association for the Surgery of Trauma multicenter prospective observational study.

Stephanie F Polites Suzanne Moody Regan F Williams Mark L Kayton Emily C Alberto Tanya Trevilian

J Trauma Acute Care Surg

July 2020

Article Synopsis

- The study aimed to explore how the timing and volume of crystalloid fluids administered prior to blood transfusion affects mortality rates in pediatric trauma patients, proposing that earlier blood transfusions with less crystalloid would lead to better outcomes.
- Conducted across 24 trauma centers, the study involved 712 children under 18 years with a focus on prehospital and emergency department resuscitation methods, finding that 43.7% received crystalloid boluses and 20.9% received blood products, including significant instances of massive transfusion.
- Results showed no significant impact on mortality related to transfusion timing or volume; however, receiving multiple crystalloid boluses was linked to longer recovery times in terms of ventilator support, intensive

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