The Evolution of Blood Transfusion in the Trauma Patient: Whole Blood Has Come Full Circle

Jonathan A. Black; Virginia S. Pierce; Jeffrey D. Kerby; John B. Holcomb

doi:10.1055/s-0039-3402426

Seminars in Thrombosis and Hemostasis, Inhaltsverzeichnis

Semin Thromb Hemost 2020; 46(02): 215-220
DOI: 10.1055/s-0039-3402426

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Evolution of Blood Transfusion in the Trauma Patient: Whole Blood Has Come Full Circle

Authors

Jonathan A. Black

¹Division of Acute Care Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama
Virginia S. Pierce

¹Division of Acute Care Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama
Jeffrey D. Kerby

¹Division of Acute Care Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama
John B. Holcomb

¹Division of Acute Care Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama

Abstract

Whole blood transfusion in the United States dates back to the Civil War, and it was widely used in all major conflicts since World War I. To understand our current civilian transfusion practices and to anticipate future changes in trauma resuscitation, it is important to understand the series of decisions that led trauma surgeons away from whole blood resuscitation and toward component therapy. In this review, we examine the historical basis for blood transfusion in trauma and examine the recent literature and future directions pertaining to blood product resuscitation in hemorrhaging patients.

Keywords

trauma - whole blood - blood products - transfusion - component therapy - balanced resuscitation

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