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    Patent Pending

    TASH Score (Trauma Associated Severe Hemorrhage)

    Predicts the need for massive transfusion based on clinical and laboratory data.
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    When to Use
    Why Use

    Determining when to initiate massive transfusion protocols on trauma patients.

    Providers may wait too long to begin massive transfusion, thus increasing a patient's morbidity and mortality by not transfusing early enough, or may increase morbidity and mortality by transfusing blood products unnecessarily.

    Result:

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    Evidence
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    Advice

    • Massive transfusion protocols are institution-specific, but often are 1:1:1 or 1:1:2 for fresh frozen plasma, platelets, and packed red blood cells (JAMA, 2015).
    • Remember, the TASH Score does not indicate if trauma patients should receive blood, only if they should receive blood through a massive transfusion protocol.
    Dr. Nedim Yücel

    About the Creator

    Nedim Yücel, MD, is a professor and practicing physician in the Department of Trauma and Orthopedic Surgery at the University of Witten/Herdecke and Cologne Merheim Medical Center in Germany.

    To view Dr. Nedim Yücel's publications, visit PubMed