1. Improvements in National Code Red transfusion practice in Scotland after adoption of recommendations from the Scottish National Code Red 2015 review
- Author
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Susan Henderson, Matthew J. Reed, Claire Cooke, Michael Donald, Megan Rowley, Naomi Tod, Symon Lockhart, Eleanor Knight, Nicola Littlewood, Scottish Transfusion, Neil Hughes, Munsoor Latif, Katherine J Hands, Margaret McGarvey, Niall McMahon, and Catherine Innes
- Subjects
Adult ,Male ,medicine.medical_specialty ,Resuscitation ,Psychological intervention ,Blood Component Transfusion ,Hemorrhage ,Plasma ,03 medical and health sciences ,Injury Severity Score ,0302 clinical medicine ,Trauma Centers ,medicine ,Coagulation testing ,Humans ,Blood Transfusion ,Retrospective Studies ,General Environmental Science ,030222 orthopedics ,business.industry ,Major trauma ,030208 emergency & critical care medicine ,Emergency department ,Middle Aged ,medicine.disease ,Resuscitation room ,Survival Rate ,Treatment Outcome ,Scotland ,Blunt trauma ,Practice Guidelines as Topic ,Emergency medicine ,Wounds and Injuries ,General Earth and Planetary Sciences ,Female ,Electronic database ,business - Abstract
Aims: The Scottish Transfusion and Laboratory Support in Trauma Group (TLSTG) previously reviewed all National Code Red activations between June 1st 2013 and October 31st 2015, generating a number of recommendations to be adopted to optimise the transfusion support given to patients following major trauma in Scotland. A repeat National survey was undertaken for all patients for whom Code Red was activated between 1st November 2015 and 31st December 2017. Methods: A clinical and transfusion lead for each centre entered anonymised data onto a secure electronic database (REDCap). Results: During the study period there were 66 activations (24 South-East of Scotland, 32 West, 10 East). Mean age was 45 years and 88% were male. Mean Injury Severity Score (ISS) was 28 with 75% blunt trauma. 93% (62/66) of Code Red patients received blood components with a 300% increase in pre-hospital transfusion (48 vs 16 patients; p
- Published
- 2020
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