Balanced hemostatic resuscitation for bleeding pediatric trauma patients: A nationwide quantitative analysis of outcomes

•There are conflicting results regarding balanced blood product transfusion in bleeding pediatric trauma patients, and there is no definitive data on the ideal FFP:PRBC transfusion ratio for injured children.•Lower FFP:PRBC transfusion ratios approaching 1:1 were associated with both increased 24 h as well as in-hospital survival in injured children.•Further large scale prospective randomized studies are needed to replicate these findings in pediatric trauma patients.