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Whole blood is mainly used for patients suffering with massive haemorrhage or when neonatal exchange transfusions are needed [ 7]. Adult massive haemorrhage is defined as transfusion of more than 10 RBCC units within 24 hours which is approximately the total blood volume or replacement of more than 50% total blood volume using blood products within a 3-hour period.
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Our series suggests that the cautious use of rFVIIa may be an option in patients with a circulatory assist device suffering from massive hemorrhage refractory to conventional treatment.
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His countrymen, suffering a massive economic and political crisis, seem to have declared good riddance.
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