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Helicopter In-flight Resuscitation with Freeze-dried Plasma of a Patient with a High-velocity Gunshot Wound to the Neck in Afghanistan – A Case Report

Published online by Cambridge University Press:  01 September 2015

Mikael Gellerfors ,
Joacim Linde  and
Dan Gryth
Mikael Gellerfors*
Affiliation:
Karolinska Institutet/Södersjukhuset, Department of Clinical Science and Education, Section of Anesthesiology and Intensive Care, Stockholm, Sweden SAE Medevac Helicopter, Armed Forces Centre for Defense Medicine (FörmedC), Gothenburg, Sweden
Joacim Linde
Affiliation:
SAE Medevac Helicopter, Armed Forces Centre for Defense Medicine (FörmedC), Gothenburg, Sweden Ambulance Helicopter VGR, Säve, Sweden
Dan Gryth
Affiliation:
Karolinska Institutet, Department of Physiology, Section of Anesthesiology and Intensive Care, Stockholm, Sweden
*
Correspondence: Mikael Gellerfors, MD Karolinska Institutet/Södersjukhuset Department of Clinical Science and Education Section of Anesthesiology and Intensive Care Sjukhusbacken 10 118 83 Stockholm, Sweden E-mail: mikael.gellerfors@ki.se
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Abstract

Massive hemorrhage with coagulopathy is one of the leading causes of preventable death in the battlefield. The development of freeze-dried plasma (FDP) allows for early treatment with coagulation-optimizing resuscitation fluid in the prehospital setting. This report describes the first prehospital use of FDP in a patient with carotid artery injury due to a high-velocity gunshot wound (HVGSW) to the neck. It also describes in-flight constitution and administration of FDP in a Medevac Helicopter. Early administration of FDP may contribute to hemodynamic stabilization and reduction in trauma-induced coagulopathy and acidosis. However, large-scale studies are needed to define the prehospital use of FDP and other blood products.

GellerforsM, LindeJ, GrythD. Helicopter In-flight Resuscitation with Freeze-dried Plasma of a Patient with a High-velocity Gunshot Wound to the Neck in Afghanistan – A Case Report. Prehosp Disaster Med. 2015;30(5):509–511.

Keywords

fluid resuscitationmilitary medicineplasmaprehospitaltrauma
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 30 , Issue 5 , October 2015 , pp. 509 - 511
Copyright
© World Association for Disaster and Emergency Medicine 2015 

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