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Emergency Medicine Journal 2008;25:127; doi:10.1136/emj.2008.057745
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

COMMENTARY

Blood product transfusion guidelines

Geoff Hughes

Correspondence to:
Professor Geoff Hughes, Emergency Department, Royal Adelaide Hospital, North Terrace, Adelaide 5000, Australia; cchdhb@yahoo.com

Accepted 4 January 2008

The first 150 words of the full text of this article appear below.

This month we publish a simple audit of Major Trauma Transfusion Guidelines from the Academic Department of Clinical Traumatology at Selly Oak Hospital, Birmingham, UK (see article on page 134).1 In summary, only 16% of 167 emergency departments seeing more than 50 000 patients a year use transfusion guidelines when managing major trauma. Although the audit specifically looks at trauma, the findings no doubt equally apply to non-trauma settings such as gastrointestinal, obstetric and gynaecological haemorrhage.

Blood products are a limited commodity and need to be used with careful clinical discrimination. Coupled with this is the fact that transfusing blood or any of its products into a patient is not always a benign procedure. The Transfusion Handbook of the UK Blood Transfusion and Tissue Transplantation Services2 has seven pages dedicated to the adverse effects of transfusion.

In addition, the management of major and massive haemorrhage, whatever the underlying . . . [Full text of this article]


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Relevant Article

Assessing the potential for major trauma transfusion guidelines in the UK
R W Westerman, K L Davey, K Porter
Emerg. Med. J. 2008 25: 134-135. [Abstract] [Full Text] [PDF]

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