Massive Transfusion: a Discussion of Ethical Principles

Authors

Sinziana Constantinescu, Beaumont Health Resident
Roy G. Soto, Beaumont Health

Document Type

Conference Proceeding - Restricted Access

Publication Date

10-11-2021

Abstract

15-year-old female with multiple gunshot wounds to the LLE, buttocks and pelvis, hemodynamically unstable with asystole upon presentation. CPR and resuscitative thoracotomy in trauma bay preceded emergent exploratory laparotomy during which multiple large vessel injuries were oversewn and patient brought to ICU for warming and resuscitation before further surgical intervention. Despite receiving 7 coolers of blood, she remained unstable and coagulopathic needing proportionally more platelets. At this time there were 4 total units of platelets left for the entire hospital and ethical principles were at odds. I plan to discuss the ethical implications of this case.

Comments

American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.

Recommended Citation

Constantinescu S, Soto RG. Massive transfusion: a discussion of ethical principles. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 8-12; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/5462