Haemorrhage Control in the German Army - Lessons Learned

Abstract

Modern warfare causes severe injuries, and despite rapid transportation to theatre regional trauma centres, casualties frequently arrive coagulopathic and in shock. Conventional resuscitation beginning with crystalloid fluids to treat shock causes further dilutional coagulopathy and increased hemorrhagic loss of platelets and coagulation factors. It is a recommendation of the transfusion medicine council (TMC) of the federal armed forces of Germany that the administration of rFVIIa combined with hypotensive resuscitation can increase survival time of combat casualties. The TMC further encourages the use of fibrinogen for combat casualties with massive haemorrhage and also the transfusion of fresh whole blood (FWB) for trauma induced coagulopathy as well.

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Document Details

Document Type
Technical Report
Publication Date
Apr 01, 2010
Accession Number
ADA581700

Entities

People

  • Werner F. Madei

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Blood
  • Blood Cells
  • Blood Transfusions
  • Deficiencies
  • Explosive Devices
  • Explosives
  • Fibrinogen
  • Health Services
  • Hemorrhage
  • Hospitals
  • Improvised Explosive Devices
  • Iraqi-War
  • Lessons Learned
  • Medical Personnel
  • Military Hospitals
  • Resuscitation
  • Survival

Fields of Study

  • Medicine

Readers

  • European Security and Defence Policy (ESDP).
  • Organizational Process Management (OPM).
  • Trauma Surgery or Emergency Medicine.