{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:08:41Z","timestamp":1747188521854,"version":"3.40.5"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T00:00:00Z","timestamp":1583971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vox Sanguinis"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec><jats:title>Background and objective<\/jats:title><jats:p>A mass casualty incident occurred in Christchurch in March 2019. Thirty\u2010seven patients with gunshot wounds were admitted. We describe and analyse the transfusion management of these casualties.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data on demographics, injury and laboratory characteristics, and transfusions are summarized using descriptive statistics. Relationships between variables are examined using Pearson's and Spearman's rank correlations. Univariate analysis of explanatory variables is performed to determine the best early predictors of transfusion requirements. The characteristics of massive transfusion and non\u2010massive transfusion cases are compared using the <jats:italic>t<\/jats:italic>\u2010 and Mann\u2013Whitney tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010five per cent received\u00a0transfusions. Initial Hb, platelet counts and clotting results were mostly normal. On average, each gunshot wound patient was transfused 4, 3\u00b71, 1\u00b72 and 0\u00b74 units of RBC, FFP, cryoprecipitate and platelets, respectively, on the day. Base excess was the single best predictor of transfusion requirements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A greater proportion of those with gunshot wounds in this incident were transfused than in other such incidents. Transfusion requirements for patients varied but were generally modest. Blood component transfusion ratios were close to that recommended. The role of base excess as a predictor of transfusion requirements in patients with similar injuries needs more study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vox.12907","type":"journal-article","created":{"date-parts":[[2020,3,13]],"date-time":"2020-03-13T02:59:17Z","timestamp":1584068357000},"page":"424-432","source":"Crossref","is-referenced-by-count":4,"title":["Analysis of transfusion therapy during the March 2019 mass shooting incident in Christchurch, New Zealand"],"prefix":"10.1111","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4634-3792","authenticated-orcid":false,"given":"Krishna G.","family":"Badami","sequence":"first","affiliation":[{"name":"New Zealand Blood Service Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Mercer","sequence":"additional","affiliation":[{"name":"New Zealand Blood Service Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"May","family":"Chiu","sequence":"additional","affiliation":[{"name":"New Zealand Blood Service Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ma","family":"Yi","sequence":"additional","affiliation":[{"name":"Canterbury District Health Board Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"Warrington","sequence":"additional","affiliation":[{"name":"New Zealand Blood Service Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,12]]},"reference":[{"unstructured":"https:\/\/www.who.int\/hac\/techguidance\/MCM_guidelines_inside_final.pdf(accessed 01 October 2019).","key":"e_1_2_8_2_1"},{"unstructured":"http:\/\/shorthand.radionz.co.nz\/NZ\u2010DARKEST\u2010DAY\/index.html(accessed 01 October 2019).","key":"e_1_2_8_3_1"},{"unstructured":"https:\/\/nzhistory.govt.nz\/culture\/nz\u2010crime\u2010timeline(accessed 01 October 2019).","key":"e_1_2_8_4_1"},{"unstructured":"https:\/\/www.beehive.govt.nz\/release\/death\u2010toll\u2010march\u201015\u2010terrorist\u2010attack\u2010increases\u201051(accessed 23 December 2019).","key":"e_1_2_8_5_1"},{"unstructured":"https:\/\/www.rnz.co.nz\/news\/national\/384896\/police\u2010with\u2010the\u2010latest\u2010information\u2010on\u2010the\u2010mosque\u2010shootings)(accessed 01 October 2019).","key":"e_1_2_8_6_1"},{"unstructured":"https:\/\/www.nzherald.co.nz\/nz\/news\/article.cfm?c_id=1&objectid=12219421(accessed 01 October 2019).","key":"e_1_2_8_7_1"},{"doi-asserted-by":"publisher","key":"e_1_2_8_8_1","DOI":"10.1111\/j.1365-3148.2012.01173.x"},{"doi-asserted-by":"publisher","key":"e_1_2_8_9_1","DOI":"10.1111\/j.1751-2824.2011.01513.x"},{"doi-asserted-by":"publisher","key":"e_1_2_8_10_1","DOI":"10.1111\/trf.12642"},{"doi-asserted-by":"publisher","key":"e_1_2_8_11_1","DOI":"10.1111\/voxs.12398"},{"doi-asserted-by":"publisher","key":"e_1_2_8_12_1","DOI":"10.1007\/s00134-019-05724-9"},{"doi-asserted-by":"publisher","key":"e_1_2_8_13_1","DOI":"10.1111\/voxs.12395"},{"doi-asserted-by":"publisher","key":"e_1_2_8_14_1","DOI":"10.1097\/TA.0000000000002089"},{"doi-asserted-by":"publisher","key":"e_1_2_8_15_1","DOI":"10.1097\/TA.0b013e31825a787f"},{"doi-asserted-by":"publisher","key":"e_1_2_8_16_1","DOI":"10.1097\/00005373-198704000-00005"},{"doi-asserted-by":"publisher","key":"e_1_2_8_17_1","DOI":"10.1111\/trf.14415"},{"unstructured":"https:\/\/edu.cdhb.health.nz\/Hospitals\u2010Services\/Health\u2010Professionals\/CDHB\u2010Policies\/Fluid\u2010Medication\u2010Manual\/Documents\/MTP\u2010Adult\u2010Checklist\u2010and\u2010Flowchart.pdf.","key":"e_1_2_8_18_1"},{"doi-asserted-by":"publisher","key":"e_1_2_8_19_1","DOI":"10.1111\/trf.13370"},{"unstructured":"Institute for Economics & Peace.Global Peace Index 2019: Measuring Peace in a Complex World Sydney June 2019https:\/\/reliefweb.int\/sites\/reliefweb.int\/files\/resources\/GPI\u20102019\u2010web003.pdf.","key":"e_1_2_8_20_1"},{"doi-asserted-by":"publisher","key":"e_1_2_8_21_1","DOI":"10.1007\/s00068-014-0395-6"},{"doi-asserted-by":"publisher","key":"e_1_2_8_22_1","DOI":"10.1186\/s13054-019-2347-3"},{"doi-asserted-by":"publisher","key":"e_1_2_8_23_1","DOI":"10.1111\/j.1537-2995.2008.01944.x"},{"doi-asserted-by":"publisher","key":"e_1_2_8_24_1","DOI":"10.1111\/j.1538-7836.2010.03945.x"},{"doi-asserted-by":"publisher","key":"e_1_2_8_25_1","DOI":"10.1093\/bja\/aew328"},{"doi-asserted-by":"publisher","key":"e_1_2_8_26_1","DOI":"10.1053\/jcrc.2001.26292"},{"doi-asserted-by":"publisher","key":"e_1_2_8_27_1","DOI":"10.1111\/vox.12564"},{"unstructured":"Clinical Guidelines for Major Incidents and Mass Casualty Events.https:\/\/www.england.nhs.uk\/wp\u2010content\/uploads\/2018\/12\/version1__Major_Incident_and_Mass_casualty_guidelines\u2010Nov\u20102018.pdf(accessed 03 January 2020).","key":"e_1_2_8_28_1"},{"unstructured":"Data Report 2011 \u2013 2018:National Report provided for New Zealand. 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