Quote:
Originally Posted by philologus
My question is: would EPO or Iron dextran (or anything else) have been of any use?
I am not in the medical profession so laymans terms would be appreciated.
The patient was my son.
|
EPO and Iron is of no use in an acute life or death situation. My strategy with an JW in a case like your son would include some or all of:
1. Life before limb, limberal use off tourniquet. Have the radiologic department to create an embolus in his limb to reduce the bleeding? In extremis I would considered a laparatomy with clamping the iliaca.
2. Restrictive use of fluids i.v. Accept a very low blood pressure.
3. Use of tranexamic acid! NovoSeven?
This is an very complex and diffucult case and my comments are not any critics to the threatment your son recived.