Changes in transfusion and fluid therapy practices in severely injured children: an analysis of 5118 children from the TraumaRegister DGU®.
Florian PiekarskiJost KaufmannThomas EngelhardtFlorian J RaimannThomas LustenbergerIngo MarziRolf LeferingKai ZacharowskiPatrick Meybohmnull nullPublished in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2020)
Blood transfusion rates and amount of fluid resuscitation decreased in severe injured children over a 16-year period in Germany. Restrictive blood transfusion and fluid management has become common practice in severe injured children. A prehospital restrictive fluid management strategy in severely injured children is not associated with a worsened hemodynamic state, abnormal coagulation or base excess but leads to higher hemoglobin levels.