Management of hemorrhagic shock when blood is not an option.
OBJECTIVE
To describe an alternative approach to management of severe life- threatening hemorrhagic shock and the outcome when blood was not a treatment option.


METHODS
Case Report of the use of a Hemoglobin Based Oxygen Carrier (HBOC-201)when control of hemorrhage and intravenous crystalloids were unsuccessful in reversal of hemorrhagic shock and progressive ischemia.


METHODS
Trauma Center.


METHODS
Jehovah's Witness.


RESULTS
Hospital discharge and 6 month follow-up uneventful.
Mackenzie
Colin F
CF
National Study Center for Trauma and Emergency Medical Systems, University of Maryland School of Medicine, Baltimore, MD 21201, USA. cmack003@umaryland.edu
Morrison
Chet
C
Jaberi
Mahmood
M
Genuit
Thomas
T
Katamuluwa
Subishani
S
Rodriguez
Aurelio
A
D001802:Blood Substitutes / Q000627:therapeutic use*; D006454:Hemoglobins / Q000627:therapeutic use*; D006801:Humans; D033221:Jehovah's Witnesses; D019344:Lactic Acid / Q000097:blood; D008297:Male; D009104:Multiple Trauma / Q000628:therapy; D012771:Shock, Hemorrhagic / Q000209:etiology / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
D001802:Blood Substitutes; D006454:Hemoglobins; C096798:HBOC 201; D019344:Lactic Acid