Helicopter In-flight Resuscitation with Freeze-dried Plasma of a Patient with a High-velocity Gunshot Wound to the Neck in Afghanistan – A Case Report. Issue 5 (1st September 2015)

• Record Type: Journal Article
• Authors: Gellerfors, Mikael; Linde, Joacim; Gryth, Dan
• Is Part Of: Prehospital and disaster medicine. Volume 30:Issue 5(2015)
• Page Start: 509
• Page End: 511
• Publication Date: 2015-09-01
• Subjects: fluid resuscitation, -- military medicine, -- plasma, -- prehospital, -- trauma; Emergency medical services -- Periodicals; Emergency medicine -- Periodicals; Disaster medicine -- Periodicals; 616.025
• DOI: 10.1017/S1049023X15005014
• Languages: English
• ISSNs: 1049-023X

Abstract

Abstract: Massive hemorrhage with coagulopathy is one of the leading causes of preventable death in the battlefield. The development of freeze-dried plasma (FDP) allows for early treatment with coagulation-optimizing resuscitation fluid in the prehospital setting. This report describes the first prehospital use of FDP in a patient with carotid artery injury due to a high-velocity gunshot wound (HVGSW) to the neck. It also describes in-flight constitution and administration of FDP in a Medevac Helicopter. Early administration of FDP may contribute to hemodynamic stabilization and reduction in trauma-induced coagulopathy and acidosis. However, large-scale studies are needed to define the prehospital use of FDP and other blood products. M Gellerfors, J Linde, D Gryth .Helicopter in-flight resuscitation with freeze-dried plasma of a patient with a high-velocity gunshot wound to the neck in Afghanistan – a case report .Prehosp Disaster Med .2015 ;30 (5 ):509 –511 .