TY - CHAP M1 - Book, Section TI - Chapter 191. Autotransfusion A1 - Reichman, Eric F. Y1 - 2013 N1 - T2 - Emergency Medicine Procedures, 2e AB - Trauma is the leading cause of death in children and adults under 44 years of age.1 Exsanguination plays a significant role in as many as half of these deaths, most commonly after the patient reaches the hospital and within the first 24 hours after injury.2 Hemorrhagic shock is a primary indication for the transfusion of homologous blood products. Transfusions with homologous blood products carry the possibility of associated complications including transfusion reactions, transmission of infectious diseases, and sensitization to antigens.3 Massive transfusions are associated with the additional complications of acidosis, dilutional coagulopathy, and hypothermia. Transfusion of homologous blood products in the trauma patient has been independently associated with an increase in both morbidity and mortality, particularly when transfusing older, stored blood products.4–6 Blood centers have more than doubled the prices of blood products in recent years due to a decline in blood donors, higher skilled labor costs, and increases in the cost of testing and processing blood.7 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=57719847 ER -