Balanced Hemostatic Resuscitation for Bleeding Pediatric Trauma Patients: A Nationwide Quantitative Analysis of Outcomes

Trauma is one of the leading causes of mortality in the pediatric age group. [1, 2] As with older trauma patients, bleeding remains the most common cause of preventable death in this subset of patients [3]. In addition, severely injured bleeding trauma patients frequently develop trauma-induced coagulopathy (TIC) from the ongoing blood and coagulation factor loss, hemodilution from crystalloid product use, and widespread endothelial injury resulting in consumptive coagulopathy [4]. TIC worsens survival and makes management of acutely hemorrhaging trauma patients even more difficult [5].