title: Integrated major haemorrhage management in the retrieval setting: Damage control resuscitation from referral to receiving facility.
abstract: Major haemorrhage is a leading cause of death in critically ill or injured patients requiring medical retrieval and presents significant clinical and logistic challenges irrespective of patient location, primary pathophysiology or mode of transport. It is essential that all care providers involved in the retrieval patient pathway, including referring hospitals, ambulance services, retrieval teams and tertiary receiving centres, adopt a common approach to the management of this complex patient group through the use of retrieval-specific, integrated protocols. These should incorporate the latest clinical evidence base, recognise the differences between primary and inter-facility missions and clearly define the roles and responsibilities of the retrieval clinical coordinator. By unifying the response across services, the aim is to facilitate seamless transition of care with ongoing damage control resuscitation from point of referral, during transfer and on arrival at the receiving centre.
authors.affiliation: Central London School of Anaesthesia and Intensive Care Medicine, Royal Free Hospital, London, UK.
authors.forename: Julian D
authors.initials: JD
authors.lastname: Wijesuriya
authors.affiliation: Faculty of Science, Health, Education and Engineering, University of the Sunshine Coast, Maroochydore, Queensland, Australia.
authors.forename: Sean
authors.initials: S
authors.lastname: Keogh
mesh_terms: D003266:Continuity of Patient Care / Q000592:standards; D019033:Delivery of Health Care, Integrated / Q000379:methods*; D004632:Emergency Medical Services / Q000379:methods*; D006470:Hemorrhage / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007022:Hypotension / Q000503:physiopathology / Q000628:therapy; D012151:Resuscitation / Q000379:methods*; D064826:Transfusion Medicine / Q000379:methods / Q000639:trends
keywords: clinical coordination; major haemorrhage; pre-hospital emergency medicine; retrieval medicine