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2.
Ann Fr Anesth Reanim ; 28(3): 222-30, 2009 Mar.
Article in French | MEDLINE | ID: mdl-19278810

ABSTRACT

In spite of continuous progress in surgery and in interventional radiology, massive haemorrhage remains a leading cause of death in traumatology. The transfusional strategy appears a key step in the treatment of haemorrhagic shock. In the light of new insights into the pathophysiology of coagulopathies associated with traumatic shock it seems reasonable to transfuse patients with haemorrhagic shock earlier than previously recommended.


Subject(s)
Blood Transfusion/methods , Emergency Medical Services/methods , Shock, Hemorrhagic/therapy , Wounds and Injuries/complications , Acidosis/etiology , Acidosis/physiopathology , Acidosis/therapy , Acute Disease , Antigens/therapeutic use , Blood Coagulation Disorders/drug therapy , Blood Coagulation Disorders/etiology , Blood Coagulation Disorders/mortality , Blood Coagulation Disorders/physiopathology , Blood Coagulation Disorders/therapy , Blood Transfusion/trends , Blood Volume , Combined Modality Therapy , Factor VII/therapeutic use , Humans , Hypotension/etiology , Hypotension/physiopathology , Hypotension/therapy , Hypothermia/etiology , Hypothermia/physiopathology , Hypothermia/therapy , Hypoxia/etiology , Hypoxia/physiopathology , Hypoxia/therapy , Recombinant Proteins/therapeutic use , Shock, Hemorrhagic/blood , Shock, Hemorrhagic/etiology , Shock, Hemorrhagic/physiopathology , Time Factors
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