Transfusion Management of Trauma from the 2019 El Paso Mass Shooting Incident

The authors examined the response to the 2019 El Paso mass shooting, focusing on blood transfusion management in the hospital setting. Fifteen casualties were treated at University Medical Center with hemostatic agents, tranexamic acid, and blood products, while rotational thromboelastometry (ROTEM, a test for hemostasis) guided transfusion decisions in three patients. The use of ROTEM reduced the need for transfusions and improved the authors’ understanding of acute resuscitation.