title: Management of hemorrhagic shock when blood is not an option.
abstract: 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.
authors.affiliation: National Study Center for Trauma and Emergency Medical Systems, University of Maryland School of Medicine, Baltimore, MD 21201, USA. cmack003@umaryland.edu
authors.forename: Colin F
authors.initials: CF
authors.lastname: Mackenzie
authors.forename: Chet
authors.initials: C
authors.lastname: Morrison
authors.forename: Mahmood
authors.initials: M
authors.lastname: Jaberi
authors.forename: Thomas
authors.initials: T
authors.lastname: Genuit
authors.forename: Subishani
authors.initials: S
authors.lastname: Katamuluwa
authors.forename: Aurelio
authors.initials: A
authors.lastname: Rodriguez
mesh_terms: 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
chemical_list: D001802:Blood Substitutes; D006454:Hemoglobins; C096798:HBOC 201; D019344:Lactic Acid