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Commentary

The Shock Index: is it ready for primetime?

Brad Moffat1, Kelly N Vogt2 and Kenji Inaba2*

Author Affiliations

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

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Critical Care 2013, 17:196  doi:10.1186/cc13040


See related research by Mutschler et al., http://ccforum.com/content/17/4/R172

Published: 3 October 2013

Abstract

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.