The Shock Index: is it ready for primetime?
1 Department of General Surgery, University of Western Ontario, London Health Sciences Center, University Hospital, 339 Windermere Rd., Rm C8-114, London, ON N6G 2V4, UK
2 Department of Acute Care Surgery and Surgical Critical Care, Los Angeles County & University of Southern California Medical Center, 2051 Marengo Street, Inpatient Tower (C) ? Rm C5L-100, Los Angeles, CA 90033, USA
Critical Care 2013, 17:196 doi:10.1186/cc13040
See related research by Mutschler et al., http://ccforum.com/content/17/4/R172Published: 3 October 2013
The rapid and accurate prediction of the need for massive transfusion in bleeding trauma patients remains a challenge. Various models have been proposed to anticipate massive transfusion with variable success. The current study by Mutschler and colleagues proposes four classes of shock as defined by the Shock Index and examines its ability to predict the need for massive transfusion. This model demonstrates promise as a practical tool in acute decision-making for transfusion after injury.