Community Academic Profiles

David A. Spain, MD

Publication Details

  • Logistics of transfusion support for patients with massive hemorrhage.

    Goodnough LT, Spain DA, Maggio P. Curr Opin Anaesthesiol. 2013; 26 (2): 208-14

    Traditionally, trauma resuscitation protocols have advocated sequential administration of therapeutic components, beginning with crystalloid solutions infused to replace lost intravascular volume. However, rapid restoration of the components of blood is essential for ensuring adequate tissue perfusion and for preventing acidosis, coagulopathy, and hypothermia, referred to as the 'lethal triad' in trauma settings. The review summarizes practical approaches for transfusion support of patients with massive hemorrhage.

    PubMedID: 23446185

Stanford Medicine Resources:

Footer Links: