Title: Predicting mass transfusion with RABT<br/>Author: Robert Flint<br/><a href='http://umem.org/profiles/faculty/2561/'>[Click to email author]</a><hr/><p>
<span style="font-size:16px;"><span style="font-family:arial,helvetica,sans-serif;">Predicting the need for a mass hemorrhage protocol (MHP) activation is important both for individual patient outcome as well as for proper utilization of critical resources such as blood products and healthcare workers time and effort. These two studies look at using the RABT score to predict the need for mass transfusion. The RABT score is:</span></span></p>
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<span style="font-size:16px;"><span style="font-family:arial,helvetica,sans-serif;">A 4-point score</span></span></p>
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<span style="font-size:16px;"><span style="font-family:arial,helvetica,sans-serif;">blunt (0)/penetrating trauma (1),</span></span></p>
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<span style="font-size:16px;"><span style="font-family:arial,helvetica,sans-serif;">shock index (hr/SBP)≥ 1 (1),</span></span></p>
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<span style="font-size:16px;"><span style="font-family:arial,helvetica,sans-serif;">pelvic fracture (1)</span></span></p>
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<span style="font-size:16px;"><span style="font-family:arial,helvetica,sans-serif;">FAST positive (1)</span></span></p>
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<span style="font-size:16px;"><span style="font-family:arial,helvetica,sans-serif;">With a score >2 predictive of needing MHP.</span></span></p>
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<span style="font-size:16px;"><span style="font-family:arial,helvetica,sans-serif;">These studies (one in Canadian trauma centers, the other in US trauma centers) validate the use of this score to predict the need for activation of a mass hemorrhage protocol.</span></span></p>
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1, Prediction of massive transfusion with the Revised Assessment of Bleeding and Transfusion (RABT) score at Canadian level I trauma centers Karan D'Souza , Mathew Norman , Adam Greene , Colby J.F. Finney Matthew T.S. Yan , Jacqueline D. Trudeau , Michelle P. Wong , Andrew Shih , Philip Dawe <strong><a href="https://www.sciencedirect.com/journal/injury" title="Go to Injury on ScienceDirect"><span style="color:#000000;">Injury</span></a></strong> <a href="https://www.sciencedirect.com/journal/injury/vol/54/issue/1" title="Go to table of contents for this volume/issue"><span style="color:#000000;">Volume 54, Issue </span>1</a>, January 2023, Pages 19-24</p>
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2.2. Multicenter Validation of the Revised Assessment of Bleeding and Transfusion (RABT) Score for Predicting Massive Transfusion <a href="https://pubmed.ncbi.nlm.nih.gov/?term=Hanna+K&cauthor_id=32006133"><span style="color:#000000;">Kamil Hanna</span></a><span style="color:#000000;"> </span><a href="https://pubmed.ncbi.nlm.nih.gov/32006133/#affiliation-1" title="Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, 1501 N. Campbell Ave, Room 5411, P.O. Box 245063, Tucson, AZ, 85724, USA."><span style="color:#000000;">1</span></a><span style="color:#000000;">, </span><a href="https://pubmed.ncbi.nlm.nih.gov/?term=Harris+C&cauthor_id=32006133"><span style="color:#000000;">Charles Harris</span></a><span style="color:#000000;"> , </span><a href="https://pubmed.ncbi.nlm.nih.gov/?term=Trust+MD&cauthor_id=32006133"><span style="color:#000000;">Marc D Trust</span></a><span style="color:#000000;"> , </span><a href="https://pubmed.ncbi.nlm.nih.gov/?term=Bernard+A&cauthor_id=32006133"><span style="color:#000000;">Andrew Bernard</span></a><span style="color:#000000;"> , </span><a href="https://pubmed.ncbi.nlm.nih.gov/?term=Brown+C&cauthor_id=32006133"><span style="color:#000000;">Carlos Brown</span></a><span style="color:#000000;"> , </span><a href="https://pubmed.ncbi.nlm.nih.gov/?term=Hamidi+M&cauthor_id=32006133"><span style="color:#000000;">Mohammad Hamidi</span></a><span style="color:#000000;"> , </span><a href="https://pubmed.ncbi.nlm.nih.gov/?term=Joseph+B&cauthor_id=32006133"><span style="color:#000000;">Bellal Joseph</span></a> <strong>World J Sur</strong>g 2020 Jun;44(6):1807-1816. doi: 10.1007/s00268-020-05394-5.</p>
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