The literature on blood product use in trauma is growing and providing data to guide the practice. Many different areas of research are now underway, from the ideal resuscitation fluids, to the nature of the products to be used, to novel storage mechanisms for conventional products...just about everything surrounding blood product use in trauma resuscitation is up for discussion. Many well designed studies have reported their findings, while some aspects of the practice are less well investigated. The session will start with a description of the epidemiology of trauma in the USA and around the world. The scene will then be set for a moderated debate between two experts on a variety of hot topics in blood product use in trauma resuscitation.
The first speaker will be Dr. Brian Eastridge who will set the scene for the debate by providing an important talk on the epidemiology of trauma. Why are so many resources being focused on this topic? Where is trauma occurring - is it all on highways and battlefields? How many lives can we impact with improved resuscitation strategies? How can the epidemiological data on trauma help us plan for better management?
The next talk will feature a moderated debate between two well informed speakers. Dr. Phil Spinella and Dr. Richard Haspel will answer questions posed by Dr. Mark Yazer covering a variety of topics - are cold platelets really better than warm platelets? What's the evidence for using whole blood in trauma resuscitation? How safe is tranexamic acid? Should we used fixed ratio blood product resuscitation strategies from the time the bleeding starts until it ends? What is the role of point of care testing in trauma resuscitation? Each speaker will prepare a short, pre scripted answer to each question, and then Drs. Spinella and Hapsel will debate with each other, and the audience will be encouraged to participate and share their perspectives and have their questions answered by these experts. Differences of opinion will be welcomed and a lively discussion is sure to ensue.
At the completion of this session, participants should be able to:
Appreciate the scope and magnitude of traumatic deaths in the USA and around the world, and the extent to which many could have been prevented
Compare and contrast different approaches to blood product use in trauma patients through a moderated debate
Plan their own approach to the care of these patients based on the outcome of the debate