[Treatment of uncontrollable, life-threatening hemorrhage].
A severely injured patient was treated for uncontrollable, life-threatening haemorrhage according to a new standardised algorithm at Rigshospitalet, Copenhagen University Hospital. Despite aggressive surgical treatment, the diffuse bleeding continued and treatment with an ''emergency transfusion package'' (5 units of red blood cells plus 5 units of fresh-frozen plasma plus 2 units of platelets) with a subsequent infusion of fibrinogen plus a single dose of 100 microg/kg recombinant factor VIIa was initiated. Haemostasis was achieved, and the patient recovered with a good clinical outcome.
Stensballe
Jakob
J
Anaestesi- og operationsklinikken 4231/TraumeCentret, H:S Rigshospitalet, DK-2100 København Ø. jakob.stensballe@rh.hosp.dk
Lethagen
Stefan
S
Johansson
Pär Ingemar
PI
D000328:Adult; D016913:Blood Component Transfusion; D001803:Blood Transfusion; D003029:Coagulants / Q000008:administration & dosage*; D017707:Erythrocyte Transfusion; D015942:Factor VIIa / Q000008:administration & dosage*; D005260:Female; D006470:Hemorrhage / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D009104:Multiple Trauma / Q000150:complications / Q000628:therapy; D017713:Platelet Transfusion; D016896:Treatment Outcome
D003029:Coagulants; D006490:Hemostatics; D015942:Factor VIIa