دورية أكاديمية
Prehospital Whole Blood Administration for Pediatric Gastrointestinal Hemorrhage: A Case Report.
| العنوان: | Prehospital Whole Blood Administration for Pediatric Gastrointestinal Hemorrhage: A Case Report. |
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| المؤلفون: | Saab MA; Department of Emergency Medicine, Brooke Army Medical Center, San Antonio, Texas.; Department of Emergency Health Sciences, University of Texas Health Science Center San Antonio, San Antonio, Texas., Jacobson E; Department of Emergency Medicine, Brooke Army Medical Center, San Antonio, Texas.; Department of Emergency Health Sciences, University of Texas Health Science Center San Antonio, San Antonio, Texas., Hanson K; San Antonio Fire Department, San Antonio, Texas., Kruciak B; San Antonio Fire Department, San Antonio, Texas., Miramontes D; Department of Emergency Health Sciences, University of Texas Health Science Center San Antonio, San Antonio, Texas., Harper S; Department of Emergency Medicine, Brooke Army Medical Center, San Antonio, Texas.; Department of Emergency Health Sciences, University of Texas Health Science Center San Antonio, San Antonio, Texas. |
| المصدر: | Prehospital emergency care [Prehosp Emerg Care] 2024 Jul 11, pp. 1-4. Date of Electronic Publication: 2024 Jul 11. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9703530 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-0066 (Electronic) Linking ISSN: 10903127 NLM ISO Abbreviation: Prehosp Emerg Care Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Philadelphia, PA : Hanley & Belfus, c1997- |
| مستخلص: | The management of gastrointestinal (GI) hemorrhage in a prehospital setting presents significant challenges, particularly in arresting the hemorrhage and initiating resuscitation. This case report introduces a novel instance of prehospital whole blood transfusion to an 8-year-old male with severe lower GI hemorrhage, marking a shift in prehospital pediatric care. The patient, with no previous significant medical history, presented with acute rectal bleeding, severe hypotension (systolic/diastolic blood pressure [BP] 50/30 mmHg), and tachycardia (148 bpm). Early intervention by Emergency Medical Services (EMS), including the administration of 500 mL (16 mL/kg) of whole blood, led to marked improvement in vital signs (BP 97/64 mmHg and heart rate 93 bpm), physiology, and physical appearance, underscoring the potential effectiveness of prehospital whole blood transfusion in pediatric GI hemorrhage. Upon hospital admission, a Meckel's diverticulum was identified as the bleeding source, and it was successfully surgically resected. The patient's recovery was ultimately favorable, highlighting the importance of rapid, prehospital intervention and the potential role of whole blood transfusion in managing acute pediatric GI hemorrhage. This case supports the notion of advancing EMS protocols to include interventions historically reserved for the hospital setting that may significantly impact patient outcomes from the field. |
| تواريخ الأحداث: | Date Created: 20240628 Latest Revision: 20240723 |
| رمز التحديث: | 20240725 |
| DOI: | 10.1080/10903127.2024.2372808 |
| PMID: | 38940756 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1545-0066 |
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| DOI: | 10.1080/10903127.2024.2372808 |