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William DeBois discusses putting perfusion safety as the highest priority (31:57 minutes).
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Low Hemorrhage-Related Mortality in Trauma Patients in a Level I Trauma Center Employing Transfusion Packages and Early Thromboelastography-Directed Hemostatic Resuscitation with Plasma and Platelets
This was a prospective study of adult trauma patients admitted to a Level I trauma center. Demography, Injury Severity Score (ISS), transfusion therapy, and mortality were registered. Hemostatic resuscitation was based on a massive transfusion protocolencompassing transfusion packages and thromboelastography (TEG)-guided therapy.
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Same Data, Opposite Results?A Call to Improve Surgical Database Research
Surgical database research is here to stay, and its use will only increase. Decisions made from the time the data set is imported to the final regression model can impact the validity of the findings. A system that questions these steps will pay off with replicable, valid data that are more likely to be accurate and beneficial when informing clinical practice.
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