Fifteen-minute consultation: a guide to paediatric major haemorrhage.
Arch Dis Child Educ Pract Ed
; 2024 Jun 24.
Article
in En
| MEDLINE
| ID: mdl-38914447
ABSTRACT
Major trauma is a principal cause of morbidity and mortality in children. Severe haemorrhage is the second-leading cause of death in paediatric trauma, preceded by traumatic brain injury. Major haemorrhage protocols (MHPs), also known as 'code red' and 'massive transfusion protocols', are used to make large volumes of blood products rapidly available. Most recommendations for paediatric MHPs are extrapolated from adult data because of a lack of large, high-quality, prospective paediatric studies. However, applying adult data in a paediatric context requires caution due to differences in injury mechanisms and physiological responses between adults and children. Since major haemorrhage is a high-acuity low-occurrence event, MHP requires effective training, collaboration and communication among a large multidisciplinary team.In this 15-minute consultation, we provide an evidence-based synthesis of the management principles of paediatric major haemorrhage.
Full text:
1
Database:
MEDLINE
Language:
En
Journal:
Arch Dis Child Educ Pract Ed
/
Archives of disease in childhood. Education and practice edition. (Online)
Journal subject:
PEDIATRIA
Year:
2024
Type:
Article
Affiliation country:
Greece