Not as simple as ABC: Analysis of tools to trigger MTP activation in Pediatric Trauma

Abstract

Background: Early and accurate identification of pediatric trauma patients who will require massive transfusion (MT) is not well established. In adults, an ABC score >2 (defined by penetrating mechanism, positive FAST, SBP120) identifies trauma patients who require MT with sensitivity and specificity of 75 and 86%, respectively. We developed the BIS and ABCD scores and hypothesize they can improve the discriminate ability for predicting massive transfusion in children. Methods: Pediatric trauma patients who received …