Journal Review in Trauma Surgery: Blood Transfusions

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 9 February 2023

⏱️ 24 minutes

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Summary

In this episode, our team discusses the recent paper from JAMA Surgery Association of Whole Blood With Survival Among Patients Presenting With Severe Hemorrhage in US and Canadian Adult Civilian Trauma Centers. Join us as we explore some of the history of blood transfusions, how we got to where we are today, and the role whole blood transfusion may play going forward

Hosts:
Elliott R. Haut, MD, PhD, a senior, nationally recognized name in trauma and acute care surgery at Johns Hopkins University. Dr. Haut is a past president of The Eastern Association for the Surgery of Trauma (EAST) and editor-in-chief of Trauma Surgery and Acute Care Open.

Marcie Feinman, MD, MEHP, the current program director of General Surgery Residency at Sinai Hospital of Baltimore and editorial board member of SCORE. She received her Masters in Education in the Health Professions from Johns Hopkins.

David Sigmon, MD, MMEd, a PGY-7 resident at the University of Illinois at Chicago who will be a fellow at Lincoln Medical Center in the Bronx next year. He did two years of research in surgical education at the University of Pennsylvania where he also received his Master’s in Medical Education.

LITERATURE

Torres CM, Kent A, Scantling D, Joseph B, Haut ER, Sakran JV. Association of whole blood with survival among patients presenting with severe hemorrhage in US and Canadian adult civilian trauma centers. JAMA Surg. Published online January 18, 2023.
https://pubmed.ncbi.nlm.nih.gov/36652255/
Sperry JL, Guyette FX, Brown JB, et al. Prehospital plasma during air medical transport in trauma patients at risk for hemorrhagic shock. N Engl J Med. 2018;379(4):315-326.
https://pubmed.ncbi.nlm.nih.gov/30044935/
Moore HB, Moore EE, Chapman MP, et al. Plasma-first resuscitation to treat haemorrhagic shock during emergency ground transportation in an urban area: a randomised trial. Lancet. 2018;392(10144):283-291.
https://pubmed.ncbi.nlm.nih.gov/30032977/
Cannon JW, Khan MA, Raja AS, et al. Damage control resuscitation in patients with severe traumatic hemorrhage: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2017;82(3):605-617.
https://pubmed.ncbi.nlm.nih.gov/28225743/
Howley IW, Haut ER, Jacobs L, Morrison JJ, Scalea TM. Is thromboelastography (Teg)-based resuscitation better than empirical 1:1 transfusion? Trauma Surg Acute Care Open. 2018;3(1):e000140.
https://pubmed.ncbi.nlm.nih.gov/29766129/
Guyette FX, Brown JB, Zenati MS, et al. Tranexamic acid during prehospital transport in patients at risk for hemorrhage after injury: a double-blind, placebo-controlled, randomized clinical trial. JAMA Surg. 2020;156(1):11-20.
https://pubmed.ncbi.nlm.nih.gov/33016996/
Smart BJ, Haring RS, Zogg CK, et al. A faculty-student mentoring program to enhance collaboration in public health research in surgery. JAMA Surg. 2017;152(3):306-308.
https://pubmed.ncbi.nlm.nih.gov/27973649/
National Academies of Sciences E. A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths after Injury.; 2016.
https://nap.nationalacademies.org/catalog/23511/a-national-trauma-care-system-integrating-military-and-civilian-trauma
Braverman MA, Smith A, Pokorny D, et al. Prehospital whole blood reduces early mortality in patients with hemorrhagic shock. Transfusion. 2021;61 Suppl 1:S15-S21.
https://pubmed.ncbi.nlm.nih.gov/34269467/

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Transcript

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0:00.0	Behind-the-knife, the surgery podcast, relevant and engaging content designed to help you dominate the day.
0:13.0	Are you a passionate surgical educator with something to say, then join behind the knife and let the world hear.
0:29.0	Behind-the-knife is the number one surgery podcast in the world, with each episode reaching 20,000 listeners.
0:34.0	Our current group of subspecialty teams have created incredibly diverse and engaging content.
0:39.0	But their commitments are nearly finished, and we want to open up the opportunity to all of our listeners.
0:44.0	We're looking for teams of three to four surgeons who will develop one new subspecialty podcast every four months.
0:50.0	To learn more, check out the show notes or contact us at hello at BehindTheKnife.org. Applications are due February 13th.
0:58.0	Welcome to Behind-the-knife trauma edition. This is our team's sixth podcast, and we are excited to continue to share our expertise in trauma with you.
1:06.0	My name is Marcy Feynman, and I am a trauma-necute care surgeon in Baltimore, Maryland, as well as the General Surgery Residency Program Director at Sinai Hospital.
1:14.0	I am joined by Dr. David Sigmund, PGY5 at University of Illinois at Chicago and Education Guru, as well as Dr. Elliott Howt,
1:23.0	a trauma surgeon extraordinaire from Johns Hopkins, past president of East and current editor-in-chief of trauma surgery and acute care open.
1:31.0	Together, we will be your hosts in this episode as we discuss the paper titled Association of Whole Blood with Survival Among Patients,
1:38.0	presenting with severe hemorrhage in U.S. and Canadian adult civilian trauma centers.
1:42.0	This is Hot Off the Press, published in GM Assurgery in January of this year.
1:47.0	We are especially excited to discuss this paper as our very own Elliott Howt was one of the co-authors.
1:52.0	So thanks for the introduction, Marcy. I am really excited to talk about this paper.
1:58.0	This paper was done by one of our past trauma fellows during his MPH year at Johns Hopkins.
2:04.0	I run a program for MPH students to work with surgeons on outcomes research projects.
2:10.0	And Santo Torres was matched with Joe Sacran, and this is the product of his year.
2:15.0	He's this is capstone for graduation. And as you can tell, it's a pretty exciting paper published in GM Assurgery.
2:21.0	I think we're going to start with David giving us a little bit of the history of blood transfusion overall.
2:28.0	Yeah, I always love history and this is an incredibly interesting topic.
	...

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