Saving a Life without a Blood Transfusion

"Elora Thorpe was the real catalyst in our decision to transfer Luka," Art says. "She's a national authority on blood conservation and has been very helpful to our religious community." A registered nurse, Thorpe is the hospital's transfusion safety nurse manager.

Two days after his accident, Luka arrived at The University of Kansas Health System clinging to life, dangerously anemic from blood loss.

"He was as close to brain dead as he could possibly be,” according to the health system's trauma and critical care director. "But it's not our job to try to convince patients or families to go against personal beliefs. We develop a strategy to support their wishes."

The trauma team had adopted blood conservation strategies months earlier when the health system launched the state's first blood management initiative. Research indicates patient outcomes improve when blood products are used only when absolutely necessary.

Collaborating closely with neurosurgeon Jules Nazzaro, MD, orthopedic surgeons, blood management experts and other specialists, the team devised a coordinated approach to address Luka’s complex injuries. They delayed surgery for about 2 weeks to rebuild his blood supply and improve his condition.

For 5 weeks, Luka remained unconscious in intensive care. His family – he is one of 11 – showered love and support. After he awakened and left ICU, he spent another month on a recovery unit.

"Looking back, I honestly believe Luka would've died if we hadn't transferred him," Liz says.

With severe traumatic brain injuries, progress is measured in years. Six months after his accident, Luka remembered who he was and recognized his parents. Through continued physical and speech therapy, exercise, a careful diet and determination, he has become increasingly self-sufficient. Now 26, he lives with his family, but takes care of himself. Walking slowly with a cane, he makes witty conversation and structures his time in online research, reading and listening to music.