It was reported that 20% multiple trauma patients died in this period.[1] A multidisciplinary task force for advanced bleeding care in trauma was formed in 2005 with the aim of developing a guideline for the management of bleeding following severe injury.

This group published the first and an updated version of guideline in 2007 and 2010 respectively, which provides an evidence-based multidisciplinary approach to the management of critically injured bleeding trauma patients based on a systematic review of published literature. The newest 2010 guideline[1]include new recommendations on coagulation support and monitoring and the appropriate Inhibitors,research,lifescience,medical use of local haemostatic measures, tourniquets, calcium and desmopressin in the bleeding trauma patient. Holeomb reported that identified and corrects coagulopathy can increase rescue success rate.[4] In our study, we also found that the patients with coagulopathy were more likely to die. Different to traditional management of injured bleeding trauma Inhibitors,research,lifescience,medical Inhibitors,research,lifescience,medical patients which centered upon correction of acidosis and hypotension with crystalloids. Damage control resuscitation (DCR), a new resuscitation strategy, is permissive hypotension

and early hemostatic resuscitation combined identified and corrects coagulopathy with fresh-frozen plasma (FFP), restricting use of crystalloids.[5,6] In our hospital, doctors now maintain patients’ blood pressure around (90-80)/(60-50) mmHg before bleeding was controlled. The trauma patients who received blood transfusion, such as packed red blood cells, fresh-frozen plasma, platelet, cryoprecipitate, Inhibitors,research,lifescience,medical rFVII2 and tranexamic acid, seemed have a better outcome. 80.5% trauma patients recovered, which is a great deal higher than before. Conclusions In conclusion, immediately find out and treat the life-threatening bleeding and hypotension, identify and correct coagulopathy, damage control resuscitation are helpful to manage critically injured bleeding trauma patients. Inhibitors,research,lifescience,medical In order to improve patient outcomes, this evidence-based approach is worthy of further practice

and popularization. Declarations This article has been published as part of BMC Emergency Medicine Volume 13 Supplement 1, 2013: Proceedings of the 2012 Emergency Medicine Annual Congress. crotamiton The full contents of the supplement are available online at http://www.biomedcentral.com/bmcemergmed/supplements/13/S1. The publication costs for this article was funded by Xijing Hospital, the Fourth Military Medical University.
Ninety-four AECOPD patients admitted into the intensive care unit (ICU) of our ABT-263 research buy Hospital from June 2008 to March 2012 were included, all of whom in accordance with the criteria of COPD guideline constituted by Chinese Society of Respiratory Diseases in 2007 and the diagnosis standard of pulmonary encephalopathy[2,3].