Trauma Cocktail for Bleeding Patients - Watch WebMD Video

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Trauma Cocktail for Bleeding

Reviewed By: Laura Martin,

SOURCES: 2008 Medical Reference from Medstar Television. Bryan Cotton, MD, Trauma Surgeon, Vanderilt University Medical Center.

© 1999-2011 Medstar Television

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Narrator:

Kenny Holton doesn't remember much about the calf that pinned him between two gates.

Kenny Holton:

When they pulled the gates off of me, I just passed out. I didn't know nothin' until Wednesday.

Narrator:

But he's heard how bad things were.

Kenny Holton:

They say when they cut me open at Vanderbilt, I had about four pints of blood just went everywhere.

Narrator:

Kenny nearly bled to death, but doctors stopped his bleeding with a 'trauma cocktail'.

Bryan Cotton, M.D.:

Almost a whole blood type approach, which is similar to what we're starting to practice more and more now, which is more clotting factors and more platelets together, up front.

Narrator:

Traditionally, red blood cells and saline are pumped into patients, but many keep hemorrhaging.

Bryan Cotton, M.D.:

Cause people don't bleed saline, and they're not bleeding red cells. They're bleeding red cells, and clotting factors, and platelets. They're bleeding the whole thing.

Narrator:

The Vanderbilt plan calls for a standardized supply of whole blood, platelets and plasma to start flowing from the hospital's blood bank.

Bryan Cotton, M.D.:

Once that phone call is made from the trauma bay by the trauma surgeon on the way up to the operating room, the products start rolling and there's no discussion, there's no debate.

Narrator:

The result—many patients, like Kenny, clot faster and beat the odds.

Bryan Cotton, M.D.:

Prior to the protocol going into place, best case scenarios we were still in, and up in, the 65 percent to 70 percent mortality range. We saw an enormous reduction, a 70 percent odds reduction in mortality.

Narrator:

An improvement that's kept this man walking. For WebMD, I'm Sandee LaMotte.

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