PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 68, No. 5, OCTOBER 2018

BLOOD TRANSFUSION SUPPORT IN MASS DISASTER AND TRAUMA SITUATIONS AN EXPERIENCE AT A TERTIARY CARE CENTER

Chaudhry Altaf Hussain, Rasikh Maqsood*, Wasim Alamgir**, Rafia Mahmood, Nadeem Azam Khan**, Sabir Bhatti***

Abstract

Objectives: To assess the blood transfusion support requirements in mass disaster and trauma situations.
Study Design: Cross-sectional observational study.
Place and Duration of Study: This study was conducted at Combined Military Hospital Quetta from, Jan 2013 to Dec 2015.
Material and Methods: Nature of injuries, triage details, details of surgical procedures and duration of hospital stay were noted. Data was analyzed with respect to cross match to transfusion ratio and the number of units of each component transfused. Patients requiring massive transfusion and any associated complications were also studied.
Results: A total of 2228 casualties were received during the study period, of these, males were 18 (75%) and 6 (25%) were females. Mean age was29.7 years. 1636 (73.4%) casualties had sustained major injuries. Mean hospital stay was 6.31 days. Only 199 (12.2%) patients required blood transfusion with a mean of 2.9 units of RCC, 8.7 bags of FFP and 4.6 bags of platelets. Fifteen (7.5%) patients received massive transfusion. Following massive transfusion, one case of metabolic acidosis and two cases of coagulopathy were reported.
Conclusion: Mass disasters and trauma casualties pose a serious challenge to any healthcare facility in general and the blood transfusion services in particular. Only a well-organized blood transfusion center and blood transfusion emergency preparedness can result in better patient care and outcome. Not all patients need transfusion and a delicate balance between demand and supply has to be maintained.

Keywords : Cross-match to transfusion ratio, Mass disaster, Trauma,



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