Evidence map›Paper›PMID 42299324›Full record

ReviewTrauma surgery & acute care open2026

Whole truth: resuscitating trauma patients with whole blood.

Jennifer M Gurney

Abstract readReview
In one paragraph

Review in Trauma surgery & acute care open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. TCCACS and MDR 2026 introduction.Trauma surgery & acute care open · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Jennifer M GurneyJoint Trauma System, Brooke Army Medical Center, San Antonio, Texas, Texas, USA.ORCID https://orcid.org/0000-0002-0451-1137

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemorrhage remains the leading cause of death from potentially survivable injuries in both military and civilian trauma. Whole blood (WB) has repeatedly proven to be the most physiologically coherent resuscitation strategy for life-threatening hemorrhage, yet modern transfusion systems have historically prioritized inventory efficiency and component fractionation over biologic fidelity. This syllabus synthesizes contemporary military and civilian evidence for WB resuscitation, with emphasis on fresh WB (FWB) obtained through walking blood banks (WBBs) and low-titer group O WB (LTOWB), the predominant WB product currently used in civilian trauma. The historical 'back to the future' arc of transfusion practice, pathophysiology of trauma-induced blood failure, and the most current transfusion outcome data are summarized. The future of both military and civilian trauma resuscitation should adopt a layered approach to transfusion-this supports the best outcomes for trauma patients and also supports the trauma system. Precision resuscitation frameworks that assess clinical outcomes for type and timing of blood transfusion have the potential to support advanced resuscitation practices. Although the academic literature lacks publications on comparisons of LTOWB and FWB, the military is actively performing analysis to determine if there are outcome benefits for FWB and revisiting the concept for

Indexed as

Bloodblood transfusion

Identifiers

PMID42299324
PMCPMC13264879

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.