Type O Whole Blood and Assessment of AGE During Prehospital Resuscitation (TOWAR) Trial

Abstract

TOWAR is a proposed 6-year (4-year enrollment) multicenter, open label, pre-hospital, randomized trial utilizing 10 level-1 trauma centers designed to determine the efficacy and safety of low titer whole blood resuscitation as compared to standard of care resuscitation in patients at risk of hemorrhagic shock and to appropriately characterize the hemostatic competency of whole blood relative to its age. Specific aims are to determine whether prehospital low titer whole blood as compared to standard prehospital resuscitation results in lower 30-day mortality and results in lower early mortality, blood and blood component transfusion requirements, incidence of coagulopathy, improved hemostasis and platelet function and to determine whether prehospital whole blood (age greater than 14 days) as compared to young whole blood (age less than or equal to 14 days) is associated with equivalent clinical outcomes, hemostasis, prevention of coagulopathy, and platelet function in patients at risk of hemorrhagic shock.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2022
Accession Number
AD1191116

Entities

People

  • Hunter Skroczky
  • Jason Lee Sperry
  • Laurie Ney Silfies
  • Meghan Buck
  • Natalie Rogers

Organizations

  • University of Pittsburgh

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Abstracts
  • Acute Respiratory Distress Syndrome
  • Biomedical Research
  • Blood Transfusions
  • Department Of Defense
  • Electronic Mail
  • Governments
  • Health Services
  • Hemorrhagic Shock
  • Hemostasis
  • Humanities
  • Institutional Review Board
  • Instructions
  • Law
  • Local Governments
  • Medical Personnel
  • Patent Applications
  • Professional Development
  • Resuscitation
  • Standards
  • Students
  • Systems Engineering
  • Training

Fields of Study

  • Medicine

Readers

  • Immunology
  • Trauma Surgery or Emergency Medicine.
  • Trauma or Military Medicine