{"id":"https://openalex.org/W4412696161","doi":"https://doi.org/10.1186/s13049-025-01446-8","title":"Pre-hospital blood product transfusion and calcium management in the United Kingdom: a multicentre service evaluation","display_name":"Pre-hospital blood product transfusion and calcium management in the United Kingdom: a multicentre service evaluation","publication_year":2025,"publication_date":"2025-07-28","ids":{"openalex":"https://openalex.org/W4412696161","doi":"https://doi.org/10.1186/s13049-025-01446-8","pmid":"https://pubmed.ncbi.nlm.nih.gov/40722177","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12306068"},"language":"en","primary_location":{"id":"doi:10.1186/s13049-025-01446-8","doi":"https://doi.org/10.1186/s13049-025-01446-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13049-025-01446-8","pdf_url":"https://sjtrem.biomedcentral.com/counter/pdf/10.1186/s13049-025-01446-8","source":{"id":"https://openalex.org/S108358066","display_name":"Scandinavian Journal of Trauma Resuscitation and Emergency Medicine","issn_l":"1757-7241","issn":["1757-7241"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://sjtrem.biomedcentral.com/counter/pdf/10.1186/s13049-025-01446-8","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Anna Forbes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210153400","display_name":"King's College Hospital","ror":"https://ror.org/044nptt90","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135","https://openalex.org/I4210153400"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Anna Forbes","raw_affiliation_strings":["Essex and Hertfordshire Air Ambulance Trust, Flight House, Earls Colne Business Park, Colchester, Essex, CO6 2NS, UK","Kings College Hospital NHS Trust, Denmark Hill, London, SE5 9RS, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Essex and Hertfordshire Air Ambulance Trust, Flight House, Earls Colne Business Park, Colchester, Essex, CO6 2NS, UK","institution_ids":[]},{"raw_affiliation_string":"Kings College Hospital NHS Trust, Denmark Hill, London, SE5 9RS, UK","institution_ids":["https://openalex.org/I4210153400"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Chris Simpson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1310053265","display_name":"St George's Hospital","ror":"https://ror.org/0001ke483","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1310053265","https://openalex.org/I2801196673"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Chris Simpson","raw_affiliation_strings":["Air Ambulance Charity Kent Surrey Sussex, Hanger 10, Redhill, South Nutfield, RH1 5YP, UK","St Georges Hospital NHS Trust, Blackshaw Road, Tooting, London, SW17 0QT, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Air Ambulance Charity Kent Surrey Sussex, Hanger 10, Redhill, South Nutfield, RH1 5YP, UK","institution_ids":[]},{"raw_affiliation_string":"St Georges Hospital NHS Trust, Blackshaw Road, Tooting, London, SW17 0QT, UK","institution_ids":["https://openalex.org/I1310053265"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045814713","display_name":"Jo Griggs","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I28290843","display_name":"University of Surrey","ror":"https://ror.org/00ks66431","country_code":"GB","type":"education","lineage":["https://openalex.org/I28290843"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Jo Griggs","raw_affiliation_strings":["Air Ambulance Charity Kent Surrey Sussex, Hanger 10, Redhill, South Nutfield, RH1 5YP, UK. jogriggs@aakss.org.uk","Faculty of Health Sciences, University of Surrey, Guildford, GU2 7XH, UK. jogriggs@aakss.org.uk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Air Ambulance Charity Kent Surrey Sussex, Hanger 10, Redhill, South Nutfield, RH1 5YP, UK. jogriggs@aakss.org.uk","institution_ids":[]},{"raw_affiliation_string":"Faculty of Health Sciences, University of Surrey, Guildford, GU2 7XH, UK. jogriggs@aakss.org.uk","institution_ids":["https://openalex.org/I28290843"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012901940","display_name":"Jack William Barrett","orcid":"https://orcid.org/0000-0002-0040-537X","observed_orcids":["https://orcid.org/0000-0002-0040-537X"]},"institutions":[{"id":"https://openalex.org/I4402554058","display_name":"South East Coast Ambulance Service NHS Foundation Trust","ror":"https://ror.org/05eytha84","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4402554058"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jack Barrett","raw_affiliation_strings":["Air Ambulance Charity Kent Surrey Sussex, Hanger 10, Redhill, South Nutfield, RH1 5YP, UK","South East Coast Ambulance Foundation Trust, Crawley, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Air Ambulance Charity Kent Surrey Sussex, Hanger 10, Redhill, South Nutfield, RH1 5YP, UK","institution_ids":[]},{"raw_affiliation_string":"South East Coast Ambulance Foundation Trust, Crawley, UK","institution_ids":["https://openalex.org/I4402554058"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083891577","display_name":"Richard Lyon","orcid":"https://orcid.org/0000-0002-6339-5666","observed_orcids":["https://orcid.org/0000-0002-6339-5666"]},"institutions":[{"id":"https://openalex.org/I28290843","display_name":"University of Surrey","ror":"https://ror.org/00ks66431","country_code":"GB","type":"education","lineage":["https://openalex.org/I28290843"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Richard Lyon","raw_affiliation_strings":["Air Ambulance Charity Kent Surrey Sussex, Hanger 10, Redhill, South Nutfield, RH1 5YP, UK","Faculty of Health Sciences, University of Surrey, Guildford, GU2 7XH, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Air Ambulance Charity Kent Surrey Sussex, Hanger 10, Redhill, South Nutfield, RH1 5YP, UK","institution_ids":[]},{"raw_affiliation_string":"Faculty of Health Sciences, University of Surrey, Guildford, GU2 7XH, UK","institution_ids":["https://openalex.org/I28290843"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5088540343","display_name":"Caroline Leech","orcid":"https://orcid.org/0000-0002-5301-9798","observed_orcids":["https://orcid.org/0000-0002-5301-9798"]},"institutions":[{"id":"https://openalex.org/I2801674322","display_name":"University Hospital Coventry","ror":"https://ror.org/025821s54","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801674322","https://openalex.org/I2802705189"]},{"id":"https://openalex.org/I2802705189","display_name":"University Hospitals Coventry and Warwickshire NHS Trust","ror":"https://ror.org/025n38288","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802705189"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Caroline Leech","raw_affiliation_strings":["The Air Ambulance Service, Blue Skies House, Butlers Leap, Rugby, Warwickshire, CV21 3RQ, UK","University Hospitals Coventry & Warwickshire NHS Trust, Clifford Bridge Rd, Coventry, CV2 2DX, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Air Ambulance Service, Blue Skies House, Butlers Leap, Rugby, Warwickshire, CV21 3RQ, UK","institution_ids":[]},{"raw_affiliation_string":"University Hospitals Coventry & Warwickshire NHS Trust, Clifford Bridge Rd, Coventry, CV2 2DX, UK","institution_ids":["https://openalex.org/I2801674322","https://openalex.org/I2802705189"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5045814713"],"corresponding_institution_ids":["https://openalex.org/I28290843"],"apc_list":{"value":2590,"currency":"USD","value_usd":2590},"apc_paid":{"value":2590,"currency":"USD","value_usd":2590},"fwci":3.3053,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.91410112,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"33","issue":"1","first_page":"133","last_page":"133"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11116","display_name":"Trauma, Hemostasis, Coagulopathy, Resuscitation","score":0.9262999892234802,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11116","display_name":"Trauma, Hemostasis, Coagulopathy, Resuscitation","score":0.9262999892234802,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.05620000138878822,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10693","display_name":"Blood transfusion and management","score":0.008299999870359898,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/calcium-supplementation","display_name":"calcium supplementation","score":0.7089999914169312},{"id":"https://openalex.org/keywords/hypocalcemia","display_name":"hypocalcemia","score":0.9139999747276306},{"id":"https://openalex.org/keywords/hypercalcemia","display_name":"hypercalcemia","score":0.9990000128746033},{"id":"https://openalex.org/keywords/ionized-calcium","display_name":"ionized calcium","score":0.9290000200271606},{"id":"https://openalex.org/keywords/helicopter-emergency-medical-services","display_name":"helicopter emergency medical services","score":0.8610000014305115},{"id":"https://openalex.org/keywords/trauma-patients","display_name":"trauma patients","score":0.796999990940094},{"id":"https://openalex.org/keywords/traumatic-hemorrhage","display_name":"traumatic hemorrhage","score":0.9589999914169312},{"id":"https://openalex.org/keywords/point-of-care-testing","display_name":"point-of-care testing","score":0.8519999980926514},{"id":"https://openalex.org/keywords/prehospital-care","display_name":"prehospital care","score":0.5899999737739563}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9492108821868896},{"id":"https://openalex.org/C2777396833","wikidata":"https://www.wikidata.org/wiki/Q886722","display_name":"Blood product","level":2,"score":0.6522094011306763},{"id":"https://openalex.org/C2780014101","wikidata":"https://www.wikidata.org/wiki/Q183605","display_name":"Blood transfusion","level":2,"score":0.580214262008667},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4723801612854004},{"id":"https://openalex.org/C2910632473","wikidata":"https://www.wikidata.org/wiki/Q1474877","display_name":"Blood calcium","level":3,"score":0.4351261854171753},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.4240029454231262},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.39084339141845703},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3675537705421448},{"id":"https://openalex.org/C519063684","wikidata":"https://www.wikidata.org/wiki/Q706","display_name":"Calcium","level":2,"score":0.34231728315353394},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1662190556526184},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.13137602806091309},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C136264566","wikidata":"https://www.wikidata.org/wiki/Q159810","display_name":"Economy","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001803","descriptor_name":"Blood Transfusion","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002118","descriptor_name":"Calcium","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D002118","descriptor_name":"Calcium","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006113","descriptor_name":"United Kingdom","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006934","descriptor_name":"Hypercalcemia","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006996","descriptor_name":"Hypocalcemia","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D006996","descriptor_name":"Hypocalcemia","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014947","descriptor_name":"Wounds and Injuries","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D014947","descriptor_name":"Wounds and Injuries","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D016913","descriptor_name":"Blood Component Transfusion","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1186/s13049-025-01446-8","doi":"https://doi.org/10.1186/s13049-025-01446-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13049-025-01446-8","pdf_url":"https://sjtrem.biomedcentral.com/counter/pdf/10.1186/s13049-025-01446-8","source":{"id":"https://openalex.org/S108358066","display_name":"Scandinavian Journal of Trauma Resuscitation and Emergency Medicine","issn_l":"1757-7241","issn":["1757-7241"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine","raw_type":"journal-article"},{"id":"pmid:40722177","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40722177","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scandinavian journal of trauma, resuscitation and emergency medicine","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12306068","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12306068/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scand J Trauma Resusc Emerg Med","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:6913ecc43ce64811b4927361ca4a015c","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/6913ecc43ce64811b4927361ca4a015c","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 33, Iss 1, Pp 1-9 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s13049-025-01446-8","doi":"https://doi.org/10.1186/s13049-025-01446-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13049-025-01446-8","pdf_url":"https://sjtrem.biomedcentral.com/counter/pdf/10.1186/s13049-025-01446-8","source":{"id":"https://openalex.org/S108358066","display_name":"Scandinavian Journal of Trauma Resuscitation and Emergency Medicine","issn_l":"1757-7241","issn":["1757-7241"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4412696161.pdf","grobid_xml":"https://content.openalex.org/works/W4412696161.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W179356735","https://openalex.org/W1574717549","https://openalex.org/W2017016511","https://openalex.org/W2069547352","https://openalex.org/W2084973147","https://openalex.org/W2145168271","https://openalex.org/W2312074380","https://openalex.org/W2317656625","https://openalex.org/W2734324494","https://openalex.org/W2757903485","https://openalex.org/W2883159984","https://openalex.org/W2995090781","https://openalex.org/W4200498452","https://openalex.org/W4292229870","https://openalex.org/W4292289225","https://openalex.org/W4322732041","https://openalex.org/W4383376207","https://openalex.org/W4388659851","https://openalex.org/W4396760229","https://openalex.org/W4399722214","https://openalex.org/W4407102444","https://openalex.org/W4407766690","https://openalex.org/W4408503603","https://openalex.org/W4409503869"],"related_works":["https://openalex.org/W4409503869","https://openalex.org/W2769438139","https://openalex.org/W4292289225","https://openalex.org/W2324920013","https://openalex.org/W4391573215","https://openalex.org/W7213781454","https://openalex.org/W6939890653","https://openalex.org/W7153128997","https://openalex.org/W2179800268","https://openalex.org/W7214102584"],"abstract_inverted_index":{"BACKGROUND:":[0],"Hypocalcaemia":[1,214],"and":[2,9,29,42,106,113,148,162,215,231,253,265],"hypercalcaemia":[3,216],"are":[4],"associated":[5,201],"with":[6,181,202,248,279],"increased":[7],"morbidity":[8],"mortality":[10],"in":[11,33,47,61,116,207,246,277],"trauma":[12,94,160],"patients.":[13],"Although":[14],"in-hospital":[15,44,107,266],"calcium":[16,26,34,45,59,69,111,114,137,176,204],"replacement":[17,220],"protocols":[18,221],"target":[19],"normocalcaemia,":[20],"UK":[21,57,80],"pre-hospital":[22,58,75,97,211],"services":[23,271],"lack":[24],"standardised":[25],"monitoring":[27],"capabilities":[28],"demonstrate":[30,258],"significant":[31],"variation":[32],"supplementation.":[35],"No":[36],"evidence-based":[37],"guidelines":[38,276],"exist":[39],"for":[40,239],"pre-":[41,105,264],"early":[43],"administration":[46,199],"patients":[48,62,95,132,154,183,190,278],"receiving":[49,96,210],"blood":[50,64,98,108,127,172,193,197],"product":[51,198],"transfusion.":[52],"This":[53],"study":[54],"characterises":[55],"current":[56],"management":[60],"requiring":[63],"transfusion":[65],"prior":[66],"to":[67,88,179,186,227,272],"ionised":[68],"(iCa)":[70],"measurement.":[71,129],"METHODS:":[72],"A":[73],"multicentre":[74],"service":[76],"evaluation":[77],"across":[78,268],"five":[79],"Helicopter":[81],"Emergency":[82,118],"Medicine":[83],"Services":[84],"(HEMS)":[85],"from":[86],"February":[87],"April":[89],"2024,":[90],"including":[91],"all":[92],"adult":[93],"transfusions.":[99],"Data":[100],"collected":[101],"included":[102],"baseline":[103,232],"demographics,":[104],"products":[109,194],"transfused,":[110],"dose":[112],"measurement":[115],"the":[117,163,259],"Department.":[119],"The":[120],"primary":[121],"outcome":[122],"was":[123,167,177,200],"iCa":[124,166,240],"on":[125,139,170],"initial":[126],"gas":[128,173],"RESULTS:":[130],"Fifty-eight":[131],"were":[133,151,155,217],"included,":[134],"stratified":[135],"by":[136],"levels":[138],"hospital":[140],"arrival:":[141],"25":[142],"(43.1%)":[143],"hypocalcaemic,":[144],"20":[145],"(34.5%)":[146],"normocalcaemic,":[147],"13":[149],"(22.4%)":[150],"hypercalcaemic.":[152],"Most":[153],"male":[156],"(84%)":[157],"sustained":[158],"blunt":[159],"(76%)":[161],"overall":[164],"median":[165],"1.14":[168],"mmol/L":[169],"first":[171],"analysis.":[174],"Pre-hospital":[175,235],"given":[178],"57%,":[180],"hypercalcaemic":[182],"more":[184],"likely":[185],"receive":[187],"replacement.":[188],"Normocalcaemic":[189],"received":[191],"fewer":[192],"overall.":[195],"Increasing":[196],"lower":[203],"levels,":[205],"especially":[206,245],"those":[208],"not":[209],"calcium.":[212],"CONCLUSION:":[213],"common.":[218],"Calcium":[219],"may":[222],"under-":[223],"or":[224],"overtreat":[225],"due":[226],"diverse":[228],"injury":[229,252],"patterns":[230],"patient":[233],"factors.":[234],"point-of-care":[236],"testing":[237],"(POCT)":[238],"could":[241],"help":[242],"tailor":[243],"treatment,":[244],"cases":[247],"longer":[249],"times":[250],"between":[251],"arrival":[254],"at":[255],"hospital.":[256],"We":[257],"feasibility":[260],"of":[261],"collecting":[262],"comprehensive":[263],"data":[267],"multiple":[269],"HEMS":[270],"better":[273],"inform":[274],"future":[275],"traumatic":[280],"haemorrhage.":[281]},"counts_by_year":[{"year":2026,"cited_by_count":6}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2025-10-10T00:00:00"}
