Resuscitation and Traumatic Shock

Overview

Most deaths from injury occur early, with haemorrhagic shock being a leading preventable cause. This research focuses on the recognition and management of traumatic shock (TS) and major haemorrhage (MH) during the critical early phases of care. Emphasis is placed on the challenges posed by blunt trauma, concealed haemorrhage, and the absence of standardised definitions for TS and MH. The importance of early risk stratification using clinical parameters, integrated care pathways, and targeted training to address the complexities of blunt polytrauma is central to this body of work.

Key Researchers

Key Publications

Long-term outcomes of patients receiving a massive transfusion after trauma

Shock. 2014;42(4):307-12

Mitra B, Gabbe BJ, Kaukonen KM, Olaussen A, Cooper DJ, Cameron PA.

Effectiveness of massive transfusion protocols on mortality in trauma: a systematic review and meta-analysis.

ANZ J Surg. 2013;83(12):918-23

Mitra B, O'Reilly G, Cameron PA, Zatta A, Gruen RL.

Timely completion of multiple life-saving interventions for traumatic haemorrhagic shock: a retrospective cohort study

Burns Trauma. 2019;7:22

Mitra B, Bade-Boon J, Fitzgerald MC, Beck B, Cameron PA

Haemotherapy algorithm for the management of trauma-induced coagulopathy: an Australian perspective

Curr Opin Anaesthesiol. 2017;30(2):265-276

Winearls J, Mitra B, Reade MC

Hypocalcaemia and traumatic coagulopathy: an observational analysis

Vox Sang. 2020;115(2):189-195

Vasudeva M, Mathew JK, Fitzgerald MC, Cheung Z, Mitra B

‘A Feasibility Study for Implementation of Resuscitative Balloon Occlusion of the Aorta (REBOA) in Peri-arrest, Exsanguinating Trauma at an Adult Level 1 Australian Trauma Centre’

Emergency Medicine Australasia, December 2019. doi: 10.1111/1742-6723.13443

Mark Fitzgerald, Robbie Lendrum, Stephen Bernard, John Moloney, De Villiers Smit, Joseph Mathew, Yesul Kim, Christopher Nickson, Richard Lin, Meei Yeung, Adam Bystrzycki, Louise Niggemeyer, Simon Hendel, Biswadev Mitra

Prehospital ground transport rapid sequence intubation for trauma and traumatic brain injury outcomes

Annals of Surgery, March 2019, 269(3), e29-e30. doi:10.1097/sla.00000000000031422018 Published with invited commentary from Amy Goldberg MD

Mark C Fitzgerald, Patryck Lloyd-Donald, De Villiers Smit, Joseph Mathew, Yesul Kim, Jin Tee, Yashbir Dewan, Biswadev Mitra

Review article: Shock Index for prediction of critical bleeding post-trauma: A systematic review

Emerg Med Australas. 2014. Epub 2014/04/10. DOI:10.1111/1742-6723.12232

Olaussen A, Blackburn T, Mitra B, Fitzgerald M