Intravenous literature: Association of Anaesthetists of Great Britain and Ireland (2010) GUIDELINES: Blood transfusion and the anaesthetist: management of massive haemorrhage. Anaesthesia. 65, p.1153-1161.
There are an increasing number of severely injured patients who present to hospital each year. Trauma is the leading cause of death in all ages from 1 to 44 years. Haemorrhagic shock accounts for 80% of deaths in the operating theatre and up to 50% of deaths in the first 24 h after injury. Only 16% of major emergency departments in the UK use a massive haemorrhage guideline .
The management of massive haemorrhage is usually only one component of the management of a critically unwell patient. These guidelines are intended toÂ supplement current resuscitation guidelines and are specifically directed at improving management of massive haemorrhage . The guidance is intended to provide a better understanding of the priorities in specific situations. Effective teamwork and communication are an essential part of this process.