Cite this post as:
Scott Weingart, MD FCCM. Podcast 144 – The PROPPR trial with John Holcomb. EMCrit Blog. Published on February 22, 2015. Accessed on May 29th 2023. Available at [https://emcrit.org/emcrit/proppr/ ].
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
Original Release: February 22, 2015
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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I am way behind in my FOAMed consumption. But just looking at the tables it looks like the 1;1:1 group was closer to 1:2:1. Not sure what that means, but interesting signal?
Scott, thanks much for asking the question about trauma resuscitation using crystalloids. I am constantly telling my staff about the recommendations for its use pre-hospital and this podcast helps. Thanks again
I work at a level 1 trauma center but I also moonlight at a community hospital (not a trauma center). At most community hospitals, you can probably get the patient transferred in the hour or so it will take your lab to thaw your FFP since most community hospitals won’t have pre-thawed plasma. You could probably get platelets in a quicker fashion but FFP will take time. The more progressive helicopter crews will have plasma on board but not all. Obviously you are going to do the best you can with what you have but any advice from you or… Read more »
I work at a small district general in the UK and see very little trauma, but I see a lot of upper GI bleeds. Do you think the findings of this study are transferable to other causes of major haemorrhage?
Hi Scott, Great podcasts keep up the great work. Kudos to John and his team for the huge amount of work that must have gone into performing this trial. However I firmly believe that “blind” administration of fixed ratio blood products in major haemorrhage is already an anachronism. To me this study is like debating which blind landmark technique to use when inserting your CVC when the real questions are what is the best technique to follow when you use USS. We changed from a fixed ratio blind algorithm to ROTEM guided therapy for the major obstetric haemorrhage (3-4/week) in… Read more »
Love it as always. Ok group, am in a 28k square mile area with 2 trauma centers on opposite ends from each other. Which journals will best convince our local blood bank medical director to get on board with blood product admin-HEMS specific. YES, we are behind, but in desperate need to catch up. (Been carrying TXA for awhile. Would like to move forward.