Resuscitation and Traumatic Shock


Most deaths after trauma occur in the pre-hospital phase of care. Death from critical bleeding is the most common preventable cause. This body of research has a focus on management of critical bleeding after trauma during the pre-hospital phase and during resuscitation in-hospital. Developments in early management of traumatic coagulopathy, emphasis on rapid haemorrhage control and massive transfusion activation is highlighted in our research.

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