Chinese expert consensus on blood support mode and blood transfusion strategies for emergency treatment of severe trauma patients (version 2024)

Yao LU; Yang LI; Leiying ZHANG; Hao TANG; Huidan JING; Yaoli WANG; Xiangzhi JIA; Li BA; Maohong BIAN; Dan CAI; Hui CAI; Xiaohong CAI; Zhanshan ZHA; Bingyu CHEN; Daqing CHEN; Feng CHEN; Guoan CHEN; Haiming CHEN; Jing CHEN; Min CHEN; Qing CHEN; Shu CHEN; Xi CHEN; Jinfeng CHENG; Xiaoling CHU; Hongwang CUI; Xin CUI; Zhen DA; Ying DAI; Surong DENG; Weiqun DONG; Weimin FAN; Ke FENG; Danhui FU; Yongshui FU; Qi FU; Xuemei FU; Jia GAN; Xinyu GAN; Wei GAO; Huaizheng GONG; Rong GUI; Geng GUO; Ning HAN; Yiwen HAO; Wubing HE; Qiang HONG; Ruiqin HOU; Wei HOU; Jie HU; Peiyang HU; Xi HU; Xiaoyu HU; Guangbin HUANG; Jie HUANG; Xiangyan HUANG; Yuanshuai HUANG; Shouyong HUN; Xuebing JIANG; Ping JIN; Dong LAI; Aiping LE; Hongmei LI; Bijuan LI; Cuiying LI; Daihong LI; Haihong LI; He LI; Hui LI; Jianping LI; Ning LI; Xiying LI; Xiangmin LI; Xiaofei LI; Xiaojuan LI; Zhiqiang LI; Zhongjun LI; Zunyan LI; Huaqin LIANG; Xiaohua LIANG; Dongfa LIAO; Qun LIAO; Yan LIAO; Jiajin LIN; Chunxia LIU; Fenghua LIU; Peixian LIU; Tiemei LIU; Xiaoxin LIU; Zhiwei LIU; Zhongdi LIU; Hua LU; Jianfeng LUAN; Jianjun LUO; Qun LUO; Dingfeng LYU; Qi LYU; Xianping LYU; Aijun MA; Liqiang MA; Shuxuan MA; Xainjun MA; Xiaogang MA; Xiaoli MA; Guoqing MAO; Shijie MU; Shaolin NIE; Shujuan OUYANG; Xilin OUYANG; Chunqiu PAN; Jian PAN; Xiaohua PAN; Lei PENG; Tao PENG; Baohua QIAN; Shu QIAO; Li QIN; Ying REN; Zhaoqi REN; Ruiming RONG; Changshan SU; Mingwei SUN; Wenwu SUN; Zhenwei SUN; Haiping TANG; Xiaofeng TANG; Changjiu TANG; Cuihua TAO; Zhibin TIAN; Juan WANG; Baoyan WANG; Chunyan WANG; Gefei WANG; Haiyan WANG; Hongjie WANG; Peng WANG; Pengli WANG; Qiushi WANG; Xiaoning WANG; Xinhua WANG; Xuefeng WANG; Yong WANG; Yongjun WANG; Yuanjie WANG; Zhihua WANG; Shaojun WEI; Yaming WEI; Jianbo WEN; Jun WEN; Jiang WU; Jufeng WU; Aijun XIA; Fei XIA; Rong XIA; Jue XIE; Yanchao XING; Yan XIONG; Feng XU; Yongzhu XU; Yongan XU; Yonghe YAN; Beizhan YAN; Jiang YANG; Jiangcun YANG; Jun YANG; Xinwen YANG; Yongyi YANG; Chunyan YAO; Mingliang YE; Changlin YIN; Ming YIN; Wen YIN; Lianling YU; Shuhong YU; Zebo YU; Yigang YU; Anyong YU; Hong YUAN; Yi YUAN; Chan ZHANG; Jinjun ZHANG; Jun ZHANG; Kai ZHANG; Leibing ZHANG; Quan ZHANG; Rongjiang ZHANG; Sanming ZHANG; Shengji ZHANG; Shuo ZHANG; Wei ZHANG; Weidong ZHANG; Xi ZHANG; Xingwen ZHANG; Guixi ZHANG; Xiaojun ZHANG; Guoqing ZHAO; Jianpeng ZHAO; Shuming ZHAO; Beibei ZHENG; Shangen ZHENG; Huayou ZHOU; Jicheng ZHOU; Lihong ZHOU; Mou ZHOU; Xiaoyu ZHOU; Xuelian ZHOU; Yuan ZHOU; Zheng ZHOU; Zuhuang ZHOU; Haiyan ZHU; Peiyuan ZHU; Changju ZHU; Lili ZHU; Zhengguo WANG; Jianxin JIANG; Deqing WANG; Jiongcai LAN; Quanli WANG; Yang YU; Lianyang ZHANG; Aiqing WEN

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Chinese expert consensus on blood support mode and blood transfusion strategies for emergency treatment of severe trauma patients (version 2024)

VernacularTitle:严重创伤患者紧急救治血液保障模式与输血策略中国专家共识（2024版）
Author: Yao LU ¹ ; Yang LI ; Leiying ZHANG ; Hao TANG ; Huidan JING ; Yaoli WANG ; Xiangzhi JIA ; Li BA ; Maohong BIAN ; Dan CAI ; Hui CAI ; Xiaohong CAI ; Zhanshan ZHA ; Bingyu CHEN ; Daqing CHEN ; Feng CHEN ; Guoan CHEN ; Haiming CHEN ; Jing CHEN ; Min CHEN ; Qing CHEN ; Shu CHEN ; Xi CHEN ; Jinfeng CHENG ; Xiaoling CHU ; Hongwang CUI ; Xin CUI ; Zhen DA ; Ying DAI ; Surong DENG ; Weiqun DONG ; Weimin FAN ; Ke FENG ; Danhui FU ; Yongshui FU ; Qi FU ; Xuemei FU ; Jia GAN ; Xinyu GAN ; Wei GAO ; Huaizheng GONG ; Rong GUI ; Geng GUO ; Ning HAN ; Yiwen HAO ; Wubing HE ; Qiang HONG ; Ruiqin HOU ; Wei HOU ; Jie HU ; Peiyang HU ; Xi HU ; Xiaoyu HU ; Guangbin HUANG ; Jie HUANG ; Xiangyan HUANG ; Yuanshuai HUANG ; Shouyong HUN ; Xuebing JIANG ; Ping JIN ; Dong LAI ; Aiping LE ; Hongmei LI ; Bijuan LI ; Cuiying LI ; Daihong LI ; Haihong LI ; He LI ; Hui LI ; Jianping LI ; Ning LI ; Xiying LI ; Xiangmin LI ; Xiaofei LI ; Xiaojuan LI ; Zhiqiang LI ; Zhongjun LI ; Zunyan LI ; Huaqin LIANG ; Xiaohua LIANG ; Dongfa LIAO ; Qun LIAO ; Yan LIAO ; Jiajin LIN ; Chunxia LIU ; Fenghua LIU ; Peixian LIU ; Tiemei LIU ; Xiaoxin LIU ; Zhiwei LIU ; Zhongdi LIU ; Hua LU ; Jianfeng LUAN ; Jianjun LUO ; Qun LUO ; Dingfeng LYU ; Qi LYU ; Xianping LYU ; Aijun MA ; Liqiang MA ; Shuxuan MA ; Xainjun MA ; Xiaogang MA ; Xiaoli MA ; Guoqing MAO ; Shijie MU ; Shaolin NIE ; Shujuan OUYANG ; Xilin OUYANG ; Chunqiu PAN ; Jian PAN ; Xiaohua PAN ; Lei PENG ; Tao PENG ; Baohua QIAN ; Shu QIAO ; Li QIN ; Ying REN ; Zhaoqi REN ; Ruiming RONG ; Changshan SU ; Mingwei SUN ; Wenwu SUN ; Zhenwei SUN ; Haiping TANG ; Xiaofeng TANG ; Changjiu TANG ; Cuihua TAO ; Zhibin TIAN ; Juan WANG ; Baoyan WANG ; Chunyan WANG ; Gefei WANG ; Haiyan WANG ; Hongjie WANG ; Peng WANG ; Pengli WANG ; Qiushi WANG ; Xiaoning WANG ; Xinhua WANG ; Xuefeng WANG ; Yong WANG ; Yongjun WANG ; Yuanjie WANG ; Zhihua WANG ; Shaojun WEI ; Yaming WEI ; Jianbo WEN ; Jun WEN ; Jiang WU ; Jufeng WU ; Aijun XIA ; Fei XIA ; Rong XIA ; Jue XIE ; Yanchao XING ; Yan XIONG ; Feng XU ; Yongzhu XU ; Yongan XU ; Yonghe YAN ; Beizhan YAN ; Jiang YANG ; Jiangcun YANG ; Jun YANG ; Xinwen YANG ; Yongyi YANG ; Chunyan YAO ; Mingliang YE ; Changlin YIN ; Ming YIN ; Wen YIN ; Lianling YU ; Shuhong YU ; Zebo YU ; Yigang YU ; Anyong YU ; Hong YUAN ; Yi YUAN ; Chan ZHANG ; Jinjun ZHANG ; Jun ZHANG ; Kai ZHANG ; Leibing ZHANG ; Quan ZHANG ; Rongjiang ZHANG ; Sanming ZHANG ; Shengji ZHANG ; Shuo ZHANG ; Wei ZHANG ; Weidong ZHANG ; Xi ZHANG ; Xingwen ZHANG ; Guixi ZHANG ; Xiaojun ZHANG ; Guoqing ZHAO ; Jianpeng ZHAO ; Shuming ZHAO ; Beibei ZHENG ; Shangen ZHENG ; Huayou ZHOU ; Jicheng ZHOU ; Lihong ZHOU ; Mou ZHOU ; Xiaoyu ZHOU ; Xuelian ZHOU ; Yuan ZHOU ; Zheng ZHOU ; Zuhuang ZHOU ; Haiyan ZHU ; Peiyuan ZHU ; Changju ZHU ; Lili ZHU ; Zhengguo WANG ; Jianxin JIANG ; Deqing WANG ; Jiongcai LAN ; Quanli WANG ; Yang YU ; Lianyang ZHANG ; Aiqing WEN
Author Information

1. 陆军军医大学陆军特色医学中心，重庆　400042
Keywords: Wounds and injuries; Emergency care; Blood transfusion; Expert consensus
From: Chinese Journal of Trauma 2024;40(10):865-881
CountryChina
Language:Chinese
Abstract: Patients with severe trauma require an extremely timely treatment and transfusion plays an irreplaceable role in the emergency treatment of such patients. An increasing number of evidence-based medicinal evidences and clinical practices suggest that patients with severe traumatic bleeding benefit from early transfusion of low-titer group O whole blood or hemostatic resuscitation with red blood cells, plasma and platelet of a balanced ratio. However, the current domestic mode of blood supply cannot fully meet the requirements of timely and effective blood transfusion for emergency treatment of patients with severe trauma in clinical practice. In order to solve the key problems in blood supply and blood transfusion strategies for emergency treatment of severe trauma, Branch of Clinical Transfusion Medicine of Chinese Medical Association, Group for Trauma Emergency Care and Multiple Injuries of Trauma Branch of Chinese Medical Association, Young Scholar Group of Disaster Medicine Branch of Chinese Medical Association organized domestic experts of blood transfusion medicine and trauma treatment to jointly formulate Chinese expert consensus on blood support mode and blood transfusion strategies for emergency treatment of severe trauma patients ( version 2024). Based on the evidence-based medical evidence and Delphi method of expert consultation and voting, 10 recommendations were put forward from two aspects of blood support mode and transfusion strategies, aiming to provide a reference for transfusion resuscitation in the emergency treatment of severe trauma and further improve the success rate of treatment of patients with severe trauma.