Analytical evaluation of fluid and blood administration to trauma patients with abnormal shock index

Abstract

Shock occurs when the transfer of oxygen and nutrients is not sufficient to maintain normal tissue and tissue function. The most common cause of shock in surgery or trauma is the loss of large volumes of blood due to bleeding. For the best prognosis in a bleeding patient, rapid bleeding control and adequate volume resuscitation are required. The aim of this study was to evaluate the analytical administration of fluid and blood to trauma patients with abnormal shock index. Materials and Methods: In this study, demographic information, vital signs, shock index, need for blood transfusion and if necessary, the number of units received and their death or rescue from the files in the archives of Imam Reza Hospital, for all patients included in the study. Tabriz was extracted. We entered this information in the form of data that we have already designed and in this way we collected the information. We grouped patients into two groups under 0.9 and above 0.9 in terms of shock index and compared and evaluated in terms of mortality and need for transfusion. Results: In this study, 500 trauma patients referred to the emergency department were studied. The mean age of the subjects was 35.15 ± 17.20, with a maximum of 72 and a minimum of 12 years. 63.2% of patients were male and 34.8% were female. 15.6% of patients required blood transfusion of more than 10 units. The most common type of trauma (52.6%) involved accidents. The average SBP was 98.55 ± 20.10 with a maximum of 160 and a minimum of 65. The baseline DBP in patients was 55.30 ± 13.45, with a maximum of 100 and a minimum of 35. The average shock index was generally 0.83