Table 4 Hemostatic and fluid resuscitation in patients classified by Shock Index
Transfusion requirements | Group I (SI <0.6, no shock) | Group II (SI ≥0.6 to <1.0, mild shock) | Group III (SI ≥1.0 to <1.4, moderate shock) | Group IV (SI ≥1.4, severe shock) |
|---|---|---|---|---|
All blood products/units (n) | ||||
Mean ± standard deviation | 1.0 (4.8) | 2.8 (9.0) | 9.9 (17.6) | 21.4 (26.2) |
Median (IQR) | 0 (0 to 0) | 0 (0 to 0) | 2 (0 to 13) | 13 (2 to 31) |
pRBC transfusions/units (n) | ||||
Mean ± standard deviation | 0.8 (2.8) | 1.9 (4.9) | 5.4 (8.5) | 10.7 (12.7) |
Median (IQR) | 0 (0 to 0) | 0 (0 to 0) | 2 (0 to 7) | 6 (2 to 14) |
FFP transfusions/units (n) | ||||
Mean ± standard deviation | 0.6 (2.4) | 1.5 (7.1) | 4.4 (8.0) | 8.4 (11.1) |
Median (IQR) | 0 (0 to 0) | 0 (0 to 0) | 0 (0 to 6) | 5 (0 to 12) |
TC transfusion/units (n) | ||||
Mean ± standard deviation | 0.1 (0.5) | 0.1 (0.7) | 0.6 (2.1) | 1.3 (2.5) |
Median (IQR) | 0 (0 to 0) | 0 (0 to 0) | 0 (0 to 0) | 0 (0 to 2) |
TASH score (points) | ||||
Mean ± standard deviation | 3.3 (3.0) | 5.1 (4.0) | 10.3 (4.9) | 15.4 (4.9) |
Median (IQR) | 0 (0 to 0) | 4 (2 to 7) | 10 (7 to 14) | 16 (12 to 19) |
Intravascular fluids at scene (ml) | ||||
Mean ± standard deviation | 1,092 (745) | 1,288 (854) | 1,577 (1,126) | 1,844 (1,097) |
Median (IQR) | 1,000 (500 to 1,500) | 1,000 (500 to 1,500) | 1,500 (1,000 to 2,000) | 1,500 (1,000 to 2,500) |
Intravascular fluids at ED (ml) | ||||
Mean ± standard deviation | 1,716 (1,666) | 2,148 (2,490) | 3,071 (2,690) | 3,955 (3,057) |
Median (IQR) | 1,000 (500 to 2,000) | 1,000 (500 to 2,500) | 2,000 (1,000 to 4,000) | 3,000 (1,500 to 5,000) |
Vasopressors at ED | 1,009 (16.5) | 2,664 (23.2) | 1,064 (48.6) | 754 (77.9) |