Review Articles

Value and impact of massive blood transfusion protocols in the management of trauma patients

Maria del Carmen Ortega Gonzalez, Barbaro Ignacio Monzon Torres
Southern African Journal of Anaesthesia and Analgesia | Vol 17, No 4 | a473 | DOI: https://doi.org/10.1080/22201173.2011.10872792 | © 2011 Maria del Carmen Ortega Gonzalez, Barbaro Ignacio Monzon Torres | This work is licensed under CC Attribution 4.0
Submitted: 03 November 2025 | Published: 01 January 2011

About the author(s)

Maria del Carmen Ortega Gonzalez,, South Africa
Barbaro Ignacio Monzon Torres,, South Africa

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Abstract

Trauma-related injuries are the second leading cause of death and disability in South Africa. The traditional approach to surgery and resuscitation of severely injured patients has undergone change over the past 10 years. New concepts like damage control surgery and damage control resuscitation radically changed the practice of conventional resuscitation. Bleeding trauma patients die as a consequence of the so-called lethal triad or bloody vicious cycle: acidosis, coagulopathy and hypothermia. Effective initial management of trauma patients can help to improve outcomes.

Keywords

trauma, trauma anesthesia, resuscitation, trauma resuscitation, damage control resuscitation, damage control surgery, coagulopathy, hipothermia, acidosis

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Crossref Citations

1. Anaesthesia for trauma patients
M Ortega-Gonzalez
South African Family Practice  vol: 54  issue: 3  first page: S2  year: 2012  
doi: 10.1080/20786204.2012.10874227