title: Massive bleeding following severe blunt trauma: the first minutes that can change everything.
abstract: The first hour following a major trauma with massive bleeding is certainly the most decisive period in global trauma care. Most of it takes place during the prehospital care. Those prehospital minutes are thus determinant as they can be used to correctly identified patient's clinical condition, initiate organization of the in-hospital needed resources and initiate specific therapies in the very early phase after trauma. Significant recent advances in this aspect of care have been made and but evidence to support some of those strategies is still lacking.
authors.affiliation: a Department of Emergency , CHR De La Citadelle , Liege , Belgium ;
authors.forename: Martin Lucien
authors.initials: ML
authors.lastname: Tonglet
authors.affiliation: b Trauma Unit , Louisiana State University Medical Center , New Orleans , LA , USA .
authors.forename: Patrick
authors.initials: P
authors.lastname: Greiffenstein
authors.affiliation: c Anesthesiology and Intensive Care Unit , CHR De La Citadelle , Liege , Belgium.
authors.forename: Francois
authors.initials: F
authors.lastname: Pitance
authors.affiliation: a Department of Emergency , CHR De La Citadelle , Liege , Belgium ;
authors.forename: Stephane
authors.initials: S
authors.lastname: Degesves
mesh_terms: D001803:Blood Transfusion / Q000379:methods; D003131:Combined Modality Therapy; D004630:Emergencies; D004632:Emergency Medical Services / Q000458:organization & administration*; D005260:Female; D005440:Fluid Therapy / Q000379:methods; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D018570:Risk Assessment; D013997:Time Factors; D061665:Time-to-Treatment; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*
keywords: Hemorrhage; prehospital care; transfusion