When it comes to trauma, new research is showing that hypocalcemia, the loss of calcium due to blood loss, is also a factor in the “lethal triad” of acidosis, coagulopathy, and hypothermia. This condition can be further exacerbated by the citrates found in preserved blood, worsening hypocalcemia in patients. The addition of hypocalcemia to the triad would create the “lethal diamond”. As stated in the attached article, “it is hoped that this increased focus on hypocalcemia in trauma can lead to research regarding early administration of calcium with the hopes of improving trauma patient outcomes.”



Ditzel RM Jr, Anderson JL, Eisenhart WJ, et al. A review of transfusion- and trauma-induced hypocalcemia: Is it time to change the lethal triad to the lethal diamond?. J Trauma Acute Care Surg. 2020;88(3):434-439. doi:10.1097/TA.0000000000002570


View article here:

https://www.researchgate.net/publication/338153603_A_review_of_transfusion-_and_trauma-induced_hypocalcemia_Is_it_time_to_change_the_lethal_triad_to_the_lethal_diamond

Updated: Sep 3, 2020

The APRU brings whole blood to the point of injury, helping to stop the "Triad of death" before it's too late.


https://youtu.be/OLxE4FG5uQk

#trauma #combat #military #medicine #lethaltriad #smallbusiness #deltadevteam #innovation #lifesaving #ems





On Episode 4 of the "Thank You, Now What?" podcast, host Matt DeVivo interviews Monti Lejia, the Chief Product Officer of Delta Development Team.


"Monti served 24 years in the U.S. Army as a Special Forces Medic, deploying to Iraq and Afghanistan annually for more than a decade straight. He now trains civilian and military medics while co-managing a medical innovation company."


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