Treatment of the survivors from the Nagoya air crash.
Six patients were taken to our hospital alive just after the air crash at Nagoya Airport in 1994. On admission, all patients suffered from profound shock which rapidly progressed. Serum albumin and hemoglobin levels, and platelet count decreased on admission or soon after. The four patients who died could not recover from the shock and associated rapid deterioration of neurological signs. However, two patients were successfully treated with massive transfusion of packed red blood cells, fresh frozen plasma, fresh blood, and/or platelet concentrate and survived to discharge. We recommend addition of albumin to the transfusate in such cases.
Oyama
H
H
Department of Neurosurgery, Komaki City Hospital, Aichi, Japan.
Kida
Y
Y
Suenaga
H
H
Kumagai
M
M
D000060:Accidents, Aviation; D000328:Adult; D001803:Blood Transfusion; D001930:Brain Injuries / Q000628:therapy*; D002675:Child, Preschool; D003422:Critical Care; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000628:therapy*; D012709:Serum Albumin / Q000008:administration & dosage; D012771:Shock, Hemorrhagic / Q000628:therapy*; D017741:Survivors
D012709:Serum Albumin