Doctor Mansson gives a snapshot of trauma treatment. The goal is simply survival. Without life there is no need to consider future treatment modalities.

The problem: Are there things we can do during or soon after the critical stabilization phase that will have a positive and possible life-saving result when the patient reaches ICU? - Yes.

After stabilizing the patient can the trauma specialist work with the intensivist to begin a more future-looking treatment plan? Certainly. In fact an algorithm can be designed and implemented to facilitate the transition from trauma to intensive or acute care. In the case of extreme blood loss the algorithm would include blood building measures such as IV Iron and EPO.

There can be a critical delay in treatment as the patient makes the transition from the Emergency Department to the next phase of care. Since EPO takes several days to effect a change in status the sooner it starts the better. However, EPO isn't the only treatment option possible. Phasing longer term treatments into the care path ASAP is important in maintaining continuity of care.

Summary: Obviously the main focus of the trauma team is saving and stabilizing the patient. However once the patient is sufficiently stable a treatment plan including the use of EPO and IV Iron when appropriate should begin. Order sets can be created to facilitate the transition from ER to ICU. This will insure continuity in the care of the patient.

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Mr. Jan B. Wade
Blood Management Consultant
Enhance Outcomes - Control Cost
For Information Call - 360 296-1807
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