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Background: Haemorrhagic shock is the leading cause of preventable death among trauma patients. Early detection of severe haemorrhage is essential for initiating timely resuscitation and mobilizing resources for massive transfusion (MT) protocols and damage control procedures. This study aimed to assess the predictive value of prehospital haemoglobin (Hb) levels for the need for transfusion at admission, the presence of haemorrhagic shock (HS), and the necessity for MT or haemostatic surgery.

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Background: Trauma remains a global health issue being one of the leading causes of death worldwide. Sepsis and infections are common complications contributing to mortality, emphasizing the need to understand factors leading to such complications following trauma.

Aim: This study aimed to identify risk factors associated with post-trauma sepsis using data from the National Trauma Data Bank (NTDB).

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Article Synopsis
  • The study aimed to create a risk prediction model for high intraoperative bleeding in patients undergoing posterior lumbar decompression and fusion surgery and to implement blood management to enhance outcomes.
  • Researchers collected and analyzed data from patients who had the surgery between 2016 and 2021, examining 24 preoperative factors using logistic regression to build a predictive model and created a nomogram for visualization.
  • The resulting model showed moderate accuracy, with an area under the curve of 0.723, helping doctors assess bleeding risks and tailor treatment plans for better patient safety.
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Assessing the evolution of pre-hospital combat casualty care: A comparative study of two conflicts a decade apart.

Am J Emerg Med

November 2024

Israel Defense Forces, Medical Corps, Kiryat Ono, Israel; The Institute of Endocrinology, Diabetes and Metabolism, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel; Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.

Article Synopsis
  • Combat casualty care has improved due to evidence-based protocols, with a study comparing prehospital care and outcomes of patients from conflicts in 2014 and 2023 in southern Israel.
  • The study found that the number of evacuated patients increased significantly from 251 in 2014 to 940 in 2023, while the time to hospital arrival decreased.
  • There was an increase in the proportion of severely injured patients, a decrease in some advanced prehospital interventions, and an increase in prehospital blood transfusions, but in-hospital mortality rates remained stable across both conflicts.
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Background And Objectives: In the setting of trauma and suspected critical bleeding, indications to commence blood transfusions remain unclear, with high rates of potentially avoidable transfusions. Prehospital blood lactate measurements could help predict the need for blood transfusions. The aim of this study was to compare measurements detected by a point-of-care (POC) lactate device with laboratory measured lactate levels.

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