When did reactions occur during care?

Dennis notes reactions occurred on day one or later, with most at day three or later, and registry lacked hour-level timing.

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Episode notes

This presentation at SOMSA'25 discusses the analysis of transfusion reactions in trauma patients, focusing on data from military settings. It highlights the importance of blood transfusions in improving survival rates, the rates of transfusion reactions, and the limitations of the current data. The conversation emphasizes the need for further research to understand the implications of transfusion reactions and improve patient outcomes.

Takeaways

Patients who need massive transfusions are likely to develop reactions.

The benefits of transfusions far outweigh the risks.

Transfusion reaction rates are around 1%.

We can't conclude causation from retrospective data.

The rate of transfusion reactions was 23%.

Higher rates of explosive mechanism injuries were noted.

We need more data on transfusion reactions.

The registry is not generating patient data points.

Most reactions occurred on day one of transfusion.

We need to rely on civilian counterparts for data.

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