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Invited Critique
February 2013

Stopping the Bleeding: Comment on “An Emergency Department Thawed Plasma Protocol for Severely Injured Patients”

Author Affiliations

Author Affiliations: Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles.

JAMA Surg. 2013;148(2):175-176. doi:10.1001/jamasurgery.2013.415

Radwan and colleagues are leaders in the study and understanding of hemostatic resuscitation after injury. The principal finding of the present study1 is that the availability of thawed plasma (TP) in the emergency department (ED) led to much earlier plasma administration in trauma patients who received blood and blood products compared with an earlier group of patients who received TP from the blood bank. Transfusion volumes of red blood cells, plasma, and platelets during the first 24 hours also were reduced in the TP-ED group.

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