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Comment
. 2013 Oct 3;17(5):196.
doi: 10.1186/cc13040.

The Shock Index: is it ready for primetime?

Brad Moffat, Kelly N Vogt, Kenji Inaba
Comment

The Shock Index: is it ready for primetime?

Brad Moffat et al. Crit Care. .

Abstract

The rapid and accurate prediction of the need for massive transfusion in bleeding trauma patients remains a challenge. Various models have been proposed to anticipate massive transfusion with variable success. The current study by Mutschler and colleagues proposes four classes of shock as defined by the Shock Index and examines its ability to predict the need for massive transfusion. This model demonstrates promise as a practical tool in acute decision-making for transfusion after injury.

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References

    1. Holcomb JB, Del Junco DJ, Fox EE, Wade CE, Cohen MJ, Schreiber MA, Alarcon LH, Bai Y, Brasel KJ, Bulger EM, Cotton BA, Matijevic N, Muskat P, Myers JG, Phelan HA, White CE, Zhang J, Rahbar MH, for the PROMMTT Study Group. The prospective, observational, multicenter, major trauma transfusion (PROMMTT) study: comparative effectiveness of a time-varying treatment with competing risks. Arch Surg. 2012. Epub ahead of print. - PMC - PubMed
    1. Sambasivan CN, Kunio NR, Nair PV, Zink KA, Michalek JE, Holcomb JB, Schreiber MA, Wade CE, Brasel KJ, Vercruysse G, MacLeod J, Dutton RP, Hess JR, Duchesne JC, McSwain NE, Muskat P, Johannigamn J, Cryer HM, Tillou A, Cohen MJ, Pittet JF, Knudson P, De Moya MA, Tieu B, Brundage S, Napolitano LM, Brunsvold M, Sihler KC, Beilman G. Trauma Outcomes Group et al.High ratios of plasma and platelets to packed red blood cells do not affect mortality in nonmassively transfused patients. J Trauma. 2011;17:S329–S336. - PubMed
    1. Inaba K, Branco BC, Rhee P, Blackbourne LH, Holcomb JB, Teixeira PG, Shulman I, Nelson J, Demetriades D. Impact of plasma transfusion in trauma patients who do not require massive transfusion. J Am Coll Surg. 2010;17:957–965. doi: 10.1016/j.jamcollsurg.2010.01.031. - DOI - PubMed
    1. Sihler KC, Napolitano LM. Complications of massive transfusion. Chest. 2010;17:209–220. doi: 10.1378/chest.09-0252. - DOI - PubMed
    1. Mutschler M, Ulrike N, M?nzberg M, W?lfl C, Sch?chl H, Paffrath T, Bouillon B, M?gele M. The Shock Index revisited ? a fast guide to transfusion requirement? A retrospective analysis on 21,853 patients derived from the TraumaRegister DGU? Crit Care. 2013;17:R172. doi: 10.1186/cc12851. - DOI - PMC - PubMed