چکیده (انگلیسی):

A 24-year-old male Navy soldier was struck on the left thigh by a ruptured cable
and was subsequently thrown into the sea. Initial evaluation showed an Injury Severity Score
of 34. Core body temperature was 34.1
C. Laboratory data included a hemoglobin level of
4.5 g/dL and a hematocrit of 13.3%. Prothrombin time was prolonged (>100 seconds), international
normalized ratio was elevated (9.99), and partial thromboplastin time was elevated
(>180 seconds). The patient was treated for hypothermia, coagulopathy, and metabolic
acidosis during resuscitation. The patient was transfused with 16,320 mL of blood during the
first 24 hours following the accident, including 4500 mL (18 units) of warm fresh whole blood
(WFWB) donated by the patient’s military colleagues. The patient was successfully resuscitated,
and the injured leg was salvaged. Component therapy can afford replacement of
specific deficiencies or requirements, decrease the risk of transfusion-transmitted infectious
diseases, and improve resource utilization. However, a protocol of early transfusion with
WFWB should be considered during resuscitation following massive hemorrhage in specific
conditions such as battle fields or urgent situations.