Usage of blood products in multiple-casualty incidents: The experience of a level I trauma center in Israel

Dror Soffer, Josef Klausner, Dan Bar-Zohar, Oded Szold, Carl I. Schulman, Pinchas Halpern, Avigail Shimonov, Mara Hareuveni, Ofira Ben-Tal

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Objective: To predict how much blood will be needed based on the number of injured patients arriving after a multiple-casualty incident. Design: A retrospective study evaluating data collected in 18 consecutive terrorist attacks in the city of Tel Aviv between January 1997 and February 2005. Setting: A large, urban trauma center. Patients: A total of 986 patients in 18 events. Main Outcome Measures: Number of packed red blood cell (PRBC) units transfused per patient. Results: A total of 332 U of PRBCs were transfused. Half of the PRBC units were administered as massive transfusions to 4.7% of the patients. The number of PRBC units transfused per patient index (PPI) was related to incident size (mean [SD], 0.70[1.60] to 1.50 [1.60]). The most frequent major blood group transfused was type O (50%). Half of the units of PRBCs were supplied during the first 2 hours. Conclusions: One unit of blood per evacuated victim is sufficient in a small multiple-casualty incident and 2 U is sufficient in a large multiple-casualty incident. Half of the PRBC units should be blood group O.

Original languageEnglish (US)
Pages (from-to)983-989
Number of pages7
JournalArchives of Surgery
Volume143
Issue number10
DOIs
StatePublished - Oct 1 2008

ASJC Scopus subject areas

  • Surgery

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    Soffer, D., Klausner, J., Bar-Zohar, D., Szold, O., Schulman, C. I., Halpern, P., Shimonov, A., Hareuveni, M., & Ben-Tal, O. (2008). Usage of blood products in multiple-casualty incidents: The experience of a level I trauma center in Israel. Archives of Surgery, 143(10), 983-989. https://doi.org/10.1001/archsurg.143.10.983