Oxygen reduced blood for use in the treatment of traumatic brain injury accompanied by hemorrhagic shock

Abstract

The present disclosure relates to methods for treating or stabilizing a traumatic brain injury (TBI) accompanied by hemorrhagic shock in a patient in need thereof by administration of oxygen reduced blood to the patient.

Description

OXYGEN REDUCED BLOOD FOR USE IN THE TREATMENT OF TRAUMATIC BRAIN INJURY ACCOMPANIED BY HEMORRHAGIC SHOCKCROSS-REFERENCE TO RELATED APPLICATIONS

[0001] This application claims the benefit of U.S. Provisional Application No. 63 / 408,460, filed September 20, 2022, and U.S. Provisional Application No. 63 / 583,607, filed September 19, 2023. both of which are incorporated by reference in their entireties herein.FIELD OF THE INVENTION

[0002] The present disclosure relates to treatment of traumatic brain injury accompanied by hemorrhagic shock.BACKGROUND OF THE INVENTION

[0003] Death from hemorrhage and hemorrhagic shock represents a substantial health care problem globally, with more than 60,000 deaths per year in the United States and an estimated 1.9 million deaths per year worldwide, the vast majority of which involve hemorrhagic shock resulting from physical trauma. See Lozano et al., “Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease,” Lancet, 15;380(9859):2095-128 (2012). The causes of hemorrhagic shock vary widely and include trauma, maternal hemorrhage, gastrointestinal hemorrhage, perioperative hemorrhage (e.g., surgery-related hemorrhage), and rupture of an aneurysm. See Mannucci et al, “Prevention and treatment of major blood loss,” New England Journal of Medicine, 356:2301-11 (2007) (“Mannucci”); Hunt et al, “Bleeding and coagulopathies in critical care,” New England Journal of Medicine, 370: 847-859 (2014) (“Hunt”); Halmin et al., “Epidemiology of massive transfusion: a binational study from Sweden and Denmark,” Critical Care Medicine, 44:468-477 (2016) (“Halmin”); and Ruseckaite et al, “Descriptive characteristics and in-hospital mortality of critically bleeding patients requiring massive transfusion: results from the Australian and New Zealand Massive Transfusion Registry,” Vox sanguinis 112:240-248 (2017). If hemorrhagic shock is not reversed in time, severe blood loss can result in inadequate oxygen delivery at the cellular level and may quickly lead to death.

[0004] Of the different types of trauma that can lead to hemorrhagic shock, traumatic brain injury’ (TBI) is one of the most significant in terms of its associated rates of morbidity and mortality in the United States. According to the Centers for Disease Control and Prevention, more than 3 million traumatic brain injuries occur annually in the U.S., resulting in about 2.5 million emergency department visits, more than 280,000 hospitalizations, and over 52,000 deaths. See Centers for Disease Control and Prevention, "‘Surveillance Report of Traumatic Brain Injury-related Emergency Department Visits, Hospitalizations, and Deaths,” Surveillance Report (2014). Overall, TBI has an economic impact of around 76.5 billion dollars per year in direct and indirect medical expenses. See Taylor et al., “Traumatic brain injury -related emergency department visits, hospitalizations, and deaths — United States,” MMWR Surveillance Summaries, 6(9): 1-16 (2017).

[0005] Despite advances in trauma resuscitation over the past several decades, TBI and hemorrhagic shock remain leading causes of death in civilian and military populations. See Mannucci; Hunt; and Halmin. The combination of TBI and hemorrhagic shock is associated with worsened coagulopathy prior to resuscitation and increased rates of morbidity and mortality compared to hemorrhagic shock alone. See Galvagno et al., “Outcomes after concomitant traumatic brain injury and hemorrhagic shock: A secondary analysis from the Pragmatic, Randomized Optimal Platelets and Plasma Ratios Trial,” Journal of Trauma and Acute Care Surgery, 83(4):668-674 (2017). Moreover, the optimal resuscitation strategy for a traumatic brain injury accompanied by hemorrhagic shock is unclear. While immediate blood transfusion generally constitutes the best course of action to treat hemorrhaging trauma patients by restoring perfusion to ischemic tissues and preventing hypoxic and ischemic damage induced by the hemorrhagic shock, treatment of TBI accompanied by hemorrhagic shock is complicated by the fact that blood transfusion may worsen TBI-related brain pathology, leading to cerebral edema and diffuse swelling in the brain, as well as loss of local and systemic autoregulatory mechanisms that can limit the recovery of hemodynamics after resuscitation. See Falk, “Fluid resuscitation in brain-injured patients,” Critical Care Medicine, 23(l):4-6 (1995). Cerebral edema is one of the most prominent pathophysiological factors associated with death and unfavorable outcomes after a TBI. See Feldmann et al., “The prognostic value of intracranial pressure monitoring after severe head injuries,” Acta neurochirurgica Suppiementum, 28(l):74-7 (1979); and Saul et al., “Effect of intracranial pressure monitoring and aggressive treatment on mortality in severe head injury-,” Journal ofNeurosurgery, 56(4):498-503 (1982). Other adverse outcomes of TBI include damage to the central nervous system (CNS) through various mechanisms including synaptic dysfunction, protein aggregation, mitochondrial dysfunction, oxidative stress, neuroinflammation, and reduced oxygen cerebral metabolic rate due to ischemia, inadequate oxygen delivery, and / or depressed metabolism. Oxygen deprivation in the brain can quickly lead to neuronal death. Transfusion of fresh red blood cells (RBCs) to a subject suffering from a TBI has been shown to support microcirculatory perfusion and to improve tissue oxygenation, mitochondrial function, and cerebral blood flow. See Bramlett et al., “Long-Term Consequences of Traumatic Brain Injury: Current Status of Potential Mechanisms of Injun7and Neurological Outcomes,’’ Journal of Neurotrauma, 32(23): 1834-48 (2015); and Hakiminia et al.. “Oxidative stress and mitochondrial dysfunction following traumatic brain injury': From mechanistic view to targeted therapeutic opportunities,” Fundamental & Clinical Pharmacology, 36(4):612-662 (2022). For at least the reasons discussed above, the use of high quality' blood to treat traumatic brain injuries accompanied by hemorrhagic shock is of paramount importance.

[0006] However, the supplies of liquid blood and blood components are currently limited by storage systems used in conventional blood storage practices. When stored conventionally, stored blood undergoes a steady deterioration which is associated with various storage lesions including, among others, hemolysis, hemoglobin degradation, and reduced ATP and 2,3-DPG concentrations. When transfused into a patient, the effects of the steady deterioration during storage manifest, for example, as a reduction in the 24-hour in vivo recovery'. The rapid decrease in the hematocrit that results from reduced 24-hour recovery, when severe, can result in delayed hemolytic transfusion reaction (DHTR). Other complications, for example systemic inflammatory response syndrome (SIRS), transfusion related acute lung injury (TRALI), and transfusion related immunomodulation (TRIM) are associated with transfusion of stored blood, though identification of the underlying causes has remained unclear.

[0007] Even when transfused within the current 6-week limit, stored blood tends to exhibit lower quality (e.g. increased fraction of red blood cells removed; compromised oxygen exchange capacity; reduced deformability) and increased toxicity, often manifested as the clinical sequelae of transfusion therapy. A large number of articles in the literature supports this view. See e.g., Zimring, “Established and theoretical factors to consider in assessing thered cell storage lesion,” Blood, 125:2185-2190 (2015); Zhu et al., “Impaired adenosine-5'- triphosphate release from red blood cells promotes their adhesion to endothelial cells: a mechanism of hypoxemia after transfusion,” Critical care medicine, 39:2478-2486 (2011); Weinberg et al., “Red blood cell age and potentiation of transfusion-related pathology in trauma patients,” Transfusion, 51:867-873 (2011); Spinella et al., “Does the storage duration of blood products affect outcomes in critically ill patients?” Transfusion 51: 1644-1650 (2011); Roback et al., “Insufficient nitric oxide bioavailability: a hypothesis to explain adverse effects of red blood cell transfusion,” Transfusion, 51 :859-866 (2011); Reynolds et al., “The transfusion problem: role of aberrant S-nitrosylation,” Transfusion, 51 :852-858 (2011); Kim-Shapiro et al., “Storage lesion: role of red blood cell breakdown,” Transfusion, 51 :844-851 (2011); Jy et al., “Microparticles in stored red blood cells as potential mediators of transfusion complications,” Transfusion, 51:886-893 (2011); Hod et al., “Transfusion of human volunteers with older, stored red blood cells produces extravascular hemolysis and circulating non-transferrin-bound iron,” Blood, 118:6675-6682 (2011); Flegel et al., “Does prolonged storage of red blood cells cause harm?” British journal of haematology 165:3-16 (2014); Redlin et al.. “Red blood cell storage duration is associated with various clinical outcomes in pediatric cardiac surgery,” Transfusion medicine and hemotherapy, offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie 41 : 146- 151 (2014); Rogers el al., “Storage duration of red blood cell transfusion and Clostridium difficile infection: a within person comparison,” PLoS One 9:e89332 (2014); Spinella etal., “Properties of stored red blood cells: understanding immune and vascular reactivity,” Transfusion 51:894-900 (2011); Brown et al., “Length of red cell unit storage and risk for delirium after cardiac swgsv ,” Anesth Analg, 119:242-250 (2014); Wang et al., “Transfusion of older stored blood worsens outcomes in canines depending on the presence and severity of pneumonia,” Transfusion, 54: 1712-1724 (2014); Liu et al.. “Mechanism of faster NO scavenging by older stored red blood cells,” Redox biology, 2:211-9 (2014); Prestia et al., “Transfusion of stored blood impairs host defenses against Gram-negative pathogens in mice.” Transfusion 54:2842-2851 (2014); D'Alessandro et al., “An update on red blood cell storage lesions, as gleaned through biochemistry and omics technologies.” Transfusion, 55:205-219 (2015) (hereby incorporated by reference in their entireties). An extensive body of in vitro studies unequivocally shows the degradation of red blood cells (storage lesions) during conventional storage. A body of emerging metabolomic studies show thedevelopment of storage lesions at the molecular level. See Roback et al., “Metabolomics of AS-1 RBCs Storage.” Transfusion medicine reviews (2014); D' Alessandro et al., ■‘Metabolomics of AS-5 RBCs supernatants following routine storage,” Vox sanguinis (2014); D'Alessandro et al., “Routine storage of red blood cell (RBC) units in additive solution-3: a comprehensive investigation of the RBC metabolome,” Transfusion 55: 1155- 1168 (2015); D'Alessandro et al., “Red blood cell storage in additive solution-7 preserves energy and redox metabolism: a metabolomics approach,” Transfusion (2015); Wither et al., “Hemoglobin oxidation at functional amino acid residues during routine storage of red blood cells,” Transfusion (2015); D'Alessandro et al., “Citrate metabolism in red blood cells stored in additive solution-3,” Transfusion (2016); D' Alessandro et al., “Omics markers of the red cell storage lesion and metabolic linkage,” Blood Transfus, 15: 137-144 (2017); Yoshida et al., “Red blood cell storage lesion: causes and potential clinical consequences,” Blood Transfusion, 17(l):27-52 (2019); and Reilly et al., “Potential Consequences of the Red Blood Cell Storage Lesion on Cardiac Electrophysiology,” Journal of the American Heart Association, 9(2 l):e017748 (2020) (hereby incorporated by reference in their entireties). There is a need for reducing or preventing this degradation to increase the efficacy of transfusions (more Ch delivery to peripheral tissues immediately after transfusion) and to reduce mortality due to TBI accompanied by hemorrhagic shock.

[0008] Oxidative damage initiates many red blood cell (RBC) storage lesions in conventionally stored blood and their downstream consequences; thus, methods to reduce the extent of oxidative stress are required to reduce the RBC storage lesions. A number of approaches have been developed aimed at minimizing storage lesions and improving transfusion outcomes. Approaches include additive solutions (for example, U.S. Patent No. 4,769,318, to Hamasaki et al. ,- U.S. Patent No. 4,880,786. to Sasakawa et al. ; and U.S. Patent No. 6,447,987, to Hess et al.) and frozen storage (for example, U.S. Patent No. 6,413,713, to Serebrennikov; Chaplin et al., “Blood Cells for Transfusion,” Blood, 59: 1118-20 (1982); and Valeri et al., “The survival, function, and hemolysis of human RBCs stored at 4 degrees C in additive solution (AS-1, AS-3. or AS-5) for 42 days and then biochemically modified, frozen, thawed, washed, and stored at 4 degrees C in sodium chloride and glucose solution for 24 hours,” Transfusion, 0:1341-5 (2000)) (hereby incorporated by reference in their entireties).

[0009] One approach that has proven successful in improving blood quality and extending its utility is through the depletion of oxygen and storage under anaerobic conditions. Amongthe benefits of storing blood under oxygen depleted conditions are improved levels of ATP and 2,3-DPG, and reduced hemolysis. See U.S. Patent No. 5.624,794, to Bitensky et al. : U.S. Patent No. 6,162,396, to Bitensky et al. ,' and U.S. Patent No. 5,476,764, to Bitensky (hereby incorporated by reference in their entireties). U.S. Patent No. 5,789,151, to Bitensky et al. is directed to blood storage additive solutions (hereby incorporated by reference in its entirety). U.S. Patent No. 6,162,396 (the ‘396 patent) discloses anaerobic storage bags for blood storage that comprise an oxygen impermeable outer layer, a red blood cell (RBC) compatible inner layer that is permeable to oxygen, and having an oxygen scrubber placed between the inner and outer layers.

[0010] Storing blood under oxygen depleted conditions can also result in reduced microparticle levels, reductions in the loss of deformability, reduced lipid and protein oxidation, and higher post transfusion survival when compared to blood stored under conventional conditions. See Yoshida et al., “The effects of additive solution pH and metabolic rejuvenation on anaerobic storage of red cells,’’ Transfusion 48:2096-2105 (2008); and Yoshida. T., et al. “Reduction of microparticle generation during anaerobic storage of red blood cells,” Transfusion, 52:83A (2012) (hereby incorporated by reference in their entireties). Anaerobically stored RBCs further provide higher 24-hour in vivo recovery after autologous transfusion, higher 2,3-DPG and ATP levels, lower hemolysis, and beneficial remodeling of metabolic pathway. See Reisz el al. “Oxidative modifications of glyceraldehyde 3-phosphate dehydrogenase regulate metabolic reprogramming of stored red blood cells,” Blood, 128:e32-e42 (2016); and Yoshida et al., “Extended storage of red blood cells under anaerobic conditions,” Vox sanguinis 92:22-31 (2007) (hereby incorporated by reference in their entireties).

[0011] In the present disclosure, we demonstrate that oxygen reduced blood provides for surprising improvements in clinical outcomes when transfused to treat traumatic brain injury accompanied by hemorrhagic shock. For example, using a rat model of resuscitation after traumatic brain injury accompanied by hemorrhagic shock, we show that oxygen reduced blood provides for reduced organ damage compared to non-oxygen reduced conventionally stored blood. In addition, oxygen reduced blood, when transfused to treat TBI accompanied by hemorrhagic shock, more effectively stabilizes hemodynamics compared to non-oxygen reduced conventionally stored blood.

[0012] Oxygen reduced blood provides for improved methods for treatment of traumatic brain injury accompanied by hemorrhagic shock to reverse hemorrhagic shock, thereby reducing mortality and morbidity compared to non-oxygen reduced conventionally stored blood. The improved quality of oxygen reduced blood provides for reduced organ failure, including reductions in levels of markers of lung damage, liver damage, kidney damage, and systemic inflammation compared to non-oxygen reduced conventionally stored blood.SUMMARY

[0013] The present specification addresses the need to develop effective treatments for traumatic brain injury' and traumatic brain injury' accompanied by hemorrhagic shock. In an aspect, the present specification provides, and includes, methods of reversing hemorrhagic shock in patients suffering from a traumatic brain injury’ through transfusion of oxygen- reduced blood.

[0014] The present disclosure provides for, and includes, a method of treating a traumatic brain injury’ (TBI) accompanied by hemorrhagic shock in a patient in need thereof comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient, where the patient exhibits a Glasgow Coma Scale (GCS) score of 12 or less and has a shock index (SI) of greater than 0.9 prior to the administering, and wherein the patient exhibits a GCS score of at least 13 after the administering.

[0015] The present disclosure provides for, and includes, a method of improving hepatic function in a traumatic brain injury (TBI) patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury' accompanied by hemorrhagic shock, wherein the patient has a bilirubin level that is reduced by at least 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

[0016] The present disclosure provides for, and includes, a method of improving splenic function in a traumatic brain injury’ patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury' accompanied by' hemorrhagic shock, wherein a monocyte chemoattractant protein- 1 (MCP1) level in the patient is reduced by at least 20%after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0017] The present disclosure provides for, and includes, a method of improving cardiac function in a traumatic brain injury patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury’ accompanied by hemorrhagic shock, wherein a troponin level in the patient is reduced by at least 5% after the administering compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

[0018] The present disclosure provides for, and includes, a method of improving pulmonary function in a traumatic brain injury (TBI) patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury accompanied by hemorrhagic shock, wherein a myeloperoxidase (MPO) level in the patient is reduced after the administering compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0019] The present disclosure provides for, and includes, a method of improving renal function in a traumatic brain injury (TBI) patient in need thereof, comprising administering oxy gen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury accompanied by hemorrhagic shock, and wherein a urine creatinine level in the patient is reduced by at least 5% after the administering compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0020] The present disclosure provides for, and includes, a method of increasing a plasma serum cytokine level in a traumatic brain injury (TBI) patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury accompanied by hemorrhagic shock, wherein the plasma serum cytokine is selected from the group consisting of interleukin 6 (IL-6), CXC motif chemokine ligand 1 (CXCL1), interleukin 10 (IL-10), and any combination thereof.

[0021] The present disclosure provides for, and includes, a method of modulating a stress level marker in the plasma of a traumatic brain injury (TBI) patient in need thereof,comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury accompanied by hemorrhagic shock, wherein the stress level marker is selected from the group consisting of epinephrine, norepinephrine, cortisol, and any combination thereof.

[0022] The present disclosure provides for, and includes, a method of increasing tissue oxygenation in one or more vital organs of a traumatic brain injury (TBI) patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury accompanied by hemorrhagic shock, wherein the one or more vital organs are selected from the group consisting of the kidney, the liver, the lungs, the spleen, the heart, and any combination thereof.BRIEF DESCRIPTION OF THE DRAWINGS

[0023] The present disclosure is provided with reference to the accompanying drawings, wherein:

[0024] Figure 1 A displays changes in oxygen saturation (SO2) of blood over time in an oxygen depletion device.

[0025] Figure IB displays changes in partial pressure of oxygen (pO2) of blood over time in an oxygen depletion device.

[0026] Figure 1C displays changes in partial pressure of carbon dioxide (pCCh) of blood over time in an oxygen depletion device.

[0027] Figure ID displays changes in pH of blood over time in an oxygen depletion device.

[0028] Figure IE displays changes in viable red blood cells over time from fresh red blood cells (FRBCs), conventionally stored red blood cells (CRBCs), and hypoxically stored red blood cells (HRBCs) at 5 minutes and 24 hours after being intravenously administered in rats.

[0029] Figure IF displays changes in percentage of viable red blood cells from each group of blood (FRBCs, CRBCs, and HRBCs) at 5 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, and 24 hours after intravenous administration in rats. (Significance: + = p<0.05 compared to 5 minute timepoint; * = p<0.05; ** = p<0.01).

[0030] Figure 2A displays differences in pH of blood between groups (FRBCs, CRBCs, and HRBCs) prior to administration to rats. (Significance: **** = <0.0001).

[0031] Figure 2B displays differences in partial pressure of carbon dioxide (pCCh) of blood between groups (FRBCs, CRBCs, and HRBCs) prior to administration to rats. (Significance: * = p<0.05; ** = p<0.01; *** = pO.OOl; **** = <0.0001).

[0032] Figure 2C displays differences in total hemoglobin of blood between groups (FRBCs, CRBCs, and HRBCs) prior to administration to rats. A circle represents a data point that is an outlier. (Significance: * = p<0.05; ** = p<0.01; *** = pO.OOl; **** = <0.0001).

[0033] Figure 2D displays differences in hematocrit of blood between groups (FRBCs, CRBCs, and HRBCs) prior to administration to rats. A circle represents a data point that is an outlier. (Significance: * = p<0.05; ** = pO.Ol; *** = pO.OOl; **** = <0.0001).

[0034] Figure 2E displays differences in partial pressure of oxygen (pCh) of blood between groups (FRBCs, CRBCs, and HRBCs) prior to administration to rats. (Significance: * = p<0.05; ** = p<0.01; *** = pO.OOl; **** = <0.0001).

[0035] Figure 2F displays differences in oxygen saturation (SO2) of blood between groups (FRBCs, CRBCs, and HRBCs) prior to administration to rats. (Significance: * = p<0.05;** = p<0.01; *** = pO.OOl; **** = <0.0001).

[0036] Figure 2G displays differences in plasma hemoglobin of blood between groups (FRBCs, CRBCs, and HRBCs) prior to administration to rats. (Significance: * = p<0.05;** = p<0.01; *** = pO.OOl; **** = <0.0001).

[0037] Figure 2H displays differences in percentage of hemolysis in blood between groups (FRBCs, CRBCs, and HRBCs) prior to administration to rats. (Significance: * = p<0.05;** = p<0.01 ; *** = pO.OOl ; **** = 0.0001).

[0038] Figure 3A displays changes in systolic blood pressure (SBP) in animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs) at baseline, hemorrhagic shock, and after resuscitation. (Significance: * = p<0.05).

[0039] Figure 3B displays changes in diastolic blood pressure (DBP) in animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs) at baseline, hemorrhagic shock, and after resuscitation. (Significance: * = p<0.05).

[0040] Figure 3C displays changes in mean arterial pressure (MAP) in animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs) at baseline, hemorrhagic shock, and after resuscitation. (Significance: * = p<0.05).

[0041] Figure 3D displays changes in heart rate (HR) in animals administered with different groups of blood (FRBCs. CRBCs, and HRBCs) at baseline, hemorrhagic shock, and after resuscitation.

[0042] Figure 4A displays differences in levels of CXC motif chemokine ligand 1 (CXCL1) in the lungs of animals having a traumatic brain injury accompanied by hemorrhagic shock (TBI + HS) administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the CXCL1 level in the lungs of non-TBI + HS animals at baseline (Bl).(Significance: * = p<0.05).

[0043] Figure 4B displays differences in levels of myeloperoxidase (MPO) in the lungs of TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs). compared to the MPO level in the lungs of non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0044] Figure 4C displays differences in CD45+ neutrophil content in the lungs of TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the neutrophil content in the lungs of non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0045] Figure 5A displays differences in levels of CXC motif chemokine ligand 1 (CXCL1) in the livers of TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the CXCL1 level in the liver of non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0046] Figure 5B displays differences in levels of aspartate aminotransferase (AST) in the livers of TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the AST level in the liver of non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0047] Figure 5C displays differences in levels of alanine aminotransferase (ALT) in the livers of TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the ALT level in the liver of non-TBI + HS animals at baseline (Bl).

[0048] Figure 6A displays differences in levels of interleukin 6 (IL-6) in the hearts of TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the IL-6 level in the heart of non-TBI + HS animals at baseline (Bl).(Significance: * = p<0.05).

[0049] Figure 6B displays differences in levels of tumor necrosis factor alpha (TNF-a) in the hearts of TBI + HS animals administered with different groups of blood (FRBCs. CRBCs, and HRBCs), compared to the TNF-a level in the heart of non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0050] Figure 6C displays differences in levels of monocyte chemoattractant protein- 1 (MCP-1) in the hearts of TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the MCP1 level in the heart of non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0051] Figure 6D displays differences in levels of troponin in the hearts of TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the troponin level in the heart of non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0052] Figure 6E displays differences in levels of plasma C reactive protein (CRP) in the hearts of TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the plasma CRP level in the heart of non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0053] Figure 6F displays differences in levels of plasma atrial natriuretic peptide (ANP) in the hearts of TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the plasma ANP level in the heart of non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0054] Figure 7A displays differences in levels of superoxide dismutase (SOD) in tissue homogenates and plasma harvested from TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the SOD level in tissue homogenates and plasma harvested from non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0055] Figure 7B displays differences in levels of catalase in tissue homogenates and plasma harvested from TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the catalase level in tissue homogenates and plasma harvested from non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0056] Figure 7C displays differences in levels of thiobarbituric acid reactive substances (TBARS) in tissue homogenates and plasma harvested from TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the TBARS levelin tissue homogenates and plasma harvested from non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0057] Figure 7D displays differences in levels of 8-hydroxy-2’-deoxyguanosine (8-OHdG) in tissue homogenates and plasma harvested from TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the 8-OHdG level in tissue homogenates and plasma harvested from non-TBI + HS animals at baseline (Bl). (Significance: * = p<0.05).

[0058] Figure 7E displays differences in levels of glutathione (GSH) in tissue homogenates and plasma harvested from TBI + HS animals administered with different groups of blood (FRBCs, CRBCs, and HRBCs), compared to the GSH level in tissue homogenates and plasma harvested from non-TBI + HS animals at baseline (Bl).

[0059] Figure 8 A displays differences in hematocrit (Het) between each group of blood (FRBCs, CRBCs, and HRBCs) at 0, 10, 30, and 60 minutes during a recirculation challenge. (Significance: * = p<0.05 at each timepoint between groups; f = p<0.05 compared to 0 minutes within the same group).

[0060] Figure 8B displays differences in levels of plasma hemoglobin (pHb) between each group of blood (FRBCs, CRBCs, and HRBCs) at 0, 10, 30, and 60 minutes during a recirculation challenge. (Significance: * = p<0.05 at each timepoint between groups; ** = p<0.01 at each timepoint between groups; f = p<0.05 compared to 0 minutes within the same group).

[0061] Figure 8C displays differences in hemolysis percentage between each group of blood (FRBCs, CRBCs, and HRBCs) at 0, 10, 30, and 60 minutes during a recirculation challenge. (Significance: * = p<0.05 at each timepoint between groups; f = p<0.05 compared to 0 minutes within the same group).

[0062] Figure 8D displays differences in the normalized index of hemolysis (NIH) between each group of blood (FRBCs, CRBCs, and HRBCs) at 0, 10, 30, and 60 minutes during a recirculation challenge. (Significance: * = p<0.05 at each timepoint between groups; t = p<0.05 compared to 0 minutes within the same group).

[0063] Figure 9A displays differences in neurological score between each group of animals (sham, FRBCs, CRBCs, and HRBCs) at baseline (BL), 2, 7, 14, 21, and 28 days after all steps are completed (i.e., after induction of TBI-HS resuscitation, and a 120-minute monitoring period).

[0064] Figure 9B displays differences in the time (in seconds) taken to walk through a transverse beam between each group of animals (sham, FRBCs, CRBCs, and HRBCs). at baseline (BL), 2, 7, 14, 21, and 28 days after all steps are completed (i.e., after induction of TBI-HS, resuscitation, and an initial 120-minute monitoring period).DETAILED DESCRIPTION

[0065] Methods of the present disclosure provide for, and include, administering oxy gen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient with a traumatic brain injury (TB1) undergoing hemorrhagic shock. Also provided herein are methods for administering oxygen reduced blood having an oxygen saturation (SO2) of betw een 15% and 20% prior to and during storage to a patient with a traumatic brain injury' (TBI) undergoing hemorrhagic shock. Also provided herein are methods for administering oxygen reduced blood having an oxygen saturation (SO2) of between 10% and 15% prior to and during storage to a patient with atraumatic brain injury (TBI) undergoing hemorrhagic shock. Also provided herein are methods for administering oxy gen reduced blood having an oxygen saturation (SO2) of between 5% and 10% prior to and during storage to a patient with a traumatic brain injury (TBI) undergoing hemorrhagic shock. Also provided herein are methods for administering oxygen reduced blood having an oxygen saturation (SO2) of betw een 3% and 5% prior to and during storage to a patient with a traumatic brain injury' (TBI) undergoing hemorrhagic shock. In aspects, oxygen reduced blood is administered by transfusion to a patient with a TBI undergoing hemorrhagic shock.

[0066] Methods of the present disclosure provide for, and include administering oxygen reduced blood that has an oxygen saturation (SO2) of 20% or less prior to and during storage by transfusion to a traumatic brain injury (TBI) patient undergoing hemorrhagic shock. Also provided herein are methods comprising transfusing oxygen reduced blood that has an oxygen saturation of 20% or less prior to and during storage to a TBI patient having an increased risk of hemorrhagic shock due to surgery. Also provided herein are methods of administering oxygen reduced blood having an oxygen saturation of 20% or less comprising administering oxygen reduced blood having an oxygen saturation of 10% or less. Also provided herein are methods of administering oxygen reduced blood having an oxygen saturation of 20% or less comprising administering oxygen reduced blood having an oxygen saturation of 5% or less. Also provided herein are methods of administering oxygen reducedblood having an oxygen saturation of 20% or less comprising administering oxygen reduced blood having an initial oxygen saturation of 3% or less.

[0067] Methods of the present disclosure provide for, and include, administering oxygen reduced blood for the treatment of a traumatic brain injury (TBI) accompanied by hemorrhagic shock in a patient, where the oxygen reduced blood has an oxygen saturation of 20% or less prior to and during storage for a storage period of at least one week, at least two weeks, at least 3 weeks, at least 4 weeks, at least 5 weeks, or at least 6 weeks. Also provided herein are methods for administering oxygen reduced blood for the treatment of a TBI accompanied by hemorrhagic shock in a patient, where the oxygen reduced blood has an oxygen saturation of 15% or less after a storage period of at least one week, at least two weeks, at least 3 weeks, at least 4 weeks, at least 5 weeks, or at least 6 weeks. Also provided herein are methods for administering oxygen reduced blood for the treatment of a TBI accompanied by hemorrhagic shock in a patient, where the oxygen reduced blood has an oxygen saturation of 10% or less after a storage period of at least one week, at least two weeks, at least 3 weeks, at least 4 weeks, at least 5 weeks, or at least 6 weeks. Also provided herein are methods for administering oxygen reduced blood for the treatment of a TBI accompanied by hemorrhagic shock in a patient, where the oxygen reduced blood has an oxygen saturation of 5% or less after a storage period of at least one week, at least two weeks, at least 3 weeks, at least 4 weeks, at least 5 weeks, or at least 6 weeks. Also provided herein are methods for administering oxygen reduced blood for the treatment of a TBI accompanied by hemorrhagic shock in a patient, where the oxygen reduced blood has an oxygen saturation of 3% or less after a storage period of at least one week, at least two weeks, at least 3 weeks, at least 4 weeks, at least 5 weeks, or at least 6 weeks. Also provided herein are methods for administering oxygen reduced blood for the treatment of a TBI accompanied by hemorrhagic shock in a patient, where the oxygen reduced blood has an oxygen saturation of between 3 and 5% after a storage period of at least one week, at least two weeks, at least 3 weeks, at least 4 weeks, at least 5 weeks, or at least 6 weeks. Also provided herein are methods for administering oxygen reduced blood for the treatment of a TBI accompanied by hemorrhagic shock in a patient, where the oxygen reduced blood has an oxygen saturation of between 5 and 10% after a storage period of at least one week, at least two weeks, at least 3 weeks, at least 4 weeks, at least 5 weeks, or at least 6 weeks. Also provided herein are methods for administering oxygen reduced blood for the treatment of a TBI accompanied by hemorrhagicshock in a patient, where the oxygen reduced blood has an oxygen saturation of between 10 and 15% after a storage period of at least one week, at least two weeks, at least 3 weeks, at least 4 weeks, at least 5 weeks, or at least 6 weeks. Also provided herein are methods for administering oxygen reduced blood for the treatment of a TBI accompanied by hemorrhagic shock in a patient, where the oxygen reduced blood has an oxygen saturation of between 15 and 20% after a storage period of at least one week, at least two weeks, at least 3 weeks, at least 4 weeks, at least 5 weeks, or at least 6 weeks.

[0068] Methods of the present disclosure provide for, and include, administering to a traumatic brain injury (TBI) patient undergoing hemorrhagic shock oxygen reduced blood that has an oxygen saturation of 20% or less prior to and during storage. In an aspect, a TBI patient undergoing hemorrhagic shock suffers from a head trauma, a penetrating wound, blunt force trauma, injury due to a fall, or injury due to a car accident. In an aspect, a TBI patient undergoing hemorrhagic shock is a patient with a traumatic brain injury accompanied by hemorrhagic shock. In an aspect, the TBI accompanied by hemorrhagic shock is due to brain surgery, a penetrating wound in the head, blunt force trauma to the head, an injury to the head due to a fall, an injury to the head due to a car accident, or any combination thereof.

[0069] In an aspect of the present disclosure, a TBI patient undergoing hemorrhagic shock is a subject in need of oxygen reduced blood. In an aspect, a TBI patient undergoing hemorrhagic shock is in need of one or more units of blood. In an aspect, a TBI patient undergoing hemorrhagic shock is need of two or more units of blood. In an aspect, a TBI patient undergoing hemorrhagic shock is in need of three or more units of blood.

[0070] In an aspect of the present disclosure, a patient with a traumatic brain injury' (TBI) accompanied by hemorrhagic shock is a TBI patient undergoing hemorrhagic shock. In an aspect, a patient with a traumatic brain injury (TBI) accompanied by hemorrhagic shock is undergoing hemorrhagic shock due to a head trauma, a penetrating wound, blunt force trauma, injury from a fall, or injury from a car accident. In an aspect, a TBI patient undergoing hemorrhagic shock is a patient with a class I hemorrhage. In an aspect, a TBI patient undergoing hemorrhagic shock is a patient with a class II hemorrhage. In an aspect, a TBI patient undergoing hemorrhagic shock is a patient with a class III hemorrhage. In an aspect, a TBI patient undergoing hemorrhagic shock is a patient with a class IV hemorrhage. In an aspect, a TBI patient undergoing hemorrhagic shock loses up to 15% of blood volume. In an aspect, a TBI patient undergoing hemorrhagic shock loses between 15 and 30% ofblood volume. In an aspect, a TBI patient undergoing hemorrhagic shock loses between 30 and 40% of blood volume. In an aspect, a TBI patient undergoing hemorrhagic shock loses greater than 40% of blood volume.

[0071] The present disclosure provides for, and includes, a patient in need of administration with oxygen reduced blood exhibiting one or more negative parameters prior to administration, where the one or more negative parameters are selected from the group consisting of a reduced arterial oxygen saturation (SO2), a reduced venous oxygen saturation (SO2), an increased CXC motif chemokine ligand 1 (CXCL1) level, an increased myeloperoxidase (MPO) level, an increased lung neutrophil content, an increased alanine transaminase (ALT) level, an increased aspartate transaminase (AST) level, an increased alkaline phosphatase (ALP) level, an increased bilirubin level, an increased interleukin 6 (IL- 6) level, an increased monocyte chemoattractant protein-1 (MCP1) level, an increased ferritin level, an increased albumin level, an increased albumin plus globulin (total marker) level, an increased tumor necrosis factor alpha (TNF-a) level, an increased troponin level, an increased plasma C reactive protein (CRP) level, an increased plasma atrial natriuretic peptide (ANP) level, a reduced interleukin 10 (IL- 10) level, an increased epinephrine level, an increased norepinephrine level, an increased cortisol level, an increased urine creatinine level, an increased level of neutrophil gelatinase-associated lipocalin, an increased serum creatinine level, an increased blood urea nitrogen (BUN) level, a reduced tissue oxygen saturation in one or more vital organs, an increased blood lactate level, an increased blood glucose level, a reduced hematocrit, and a reduced cardiac output. In an aspect, a patient in need of administration with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having an increased CXC motif chemokine ligand 1 (CXCL1) level, an increased myeloperoxidase (MPO) level, an increased lung neutrophil content, or any combination thereof. In an aspect, a patient in need of administration with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having an increased alanine transaminase (ALT) level, an increased aspartate transaminase (AST) level, an increased alkaline phosphatase (ALP) level, an increased bilirubin level, an increased interleukin 6 (IL-6) level, an increased monocyte chemoattractant protein- 1 (MCP1) level, an increased ferritin level, an increased CXC motif chemokine ligand 1 (CXCL1) level, an increased albumin level, an increased albumin plus globulin (total marker) level, or any combination thereof. In an aspect, a patient in need of administration with oxygen reduced blood is a TBI patient undergoinghemorrhagic shock having an increased interleukin 6 (IL-6) level, an increased CXC motif chemokine ligand 1 (CXCL1) level, an increased monocyte chemoattractant protein-1 (MCP1) level, an increased ferritin level, or any combination thereof. In an aspect, a patient in need of administration with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having an increased interleukin 6 (IL-6) level, an increased tumor necrosis factor alpha (TNF-a) level, an increased monocyte chemoattractant protein- 1 (MCP1) level, an increased troponin level, an increased plasma C reactive protein (CRP) level, an increased plasma atrial natriuretic peptide (ANP) level, an increased ferritin level, or any combination thereof. In an aspect, a patient in need of administration with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having an increased interleukin 6 (IL-6) level, an increased CXC motif chemokine ligand 1 (CXCL1) level, a reduced interleukin 10 (IL-10) level, or any combination thereof. In an aspect, a patient in need of administration with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having an increased epinephrine level, an increased norepinephrine level, an increased cortisol level, or any combination thereof. In an aspect, a patient in need of administration with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having an increased urine creatinine level, an increased level of neutrophil gelatinase-associated lipocalin, an increased serum creatinine level, an increased blood urea nitrogen (BUN) level, or any combination thereof.

[0072] The present disclosure provides for, and includes, a patient in need of administration with oxygen reduced blood, where the patient exhibits reduced arterial oxygen saturation and increased blood lactate. The present disclosure provides for, and includes, a patient in need of administration with oxygen reduced blood, where the patient exhibits increased aspartate aminotransferase (AST), increased alanine aminotransferase (ALT), and increased blood urea nitrogen. The present disclosure provides for, and includes, a patient in need of administration with oxygen reduced blood, where the patient exhibits increased aspartate aminotransferase (AST), increased alanine aminotransferase (ALT), increased serum creatinine, and increased blood urea nitrogen. The present disclosure provides for, and includes, a patient in need of administration with oxygen reduced blood, where the patient exhibits increased levels of blood lactate and blood glucose. The present disclosure provides for, and includes, a patient in need of administration with oxygen reduced blood, where thepatient exhibits increased urine neutrophil gelatinase-associated lipocalin (u-NGAL), increased serum creatinine, and increased blood urea nitrogen.

[0073] In an aspect, a patient in need of administration with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having a reduced hematocrit. In an aspect, a patient in need of administering with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having an increased blood lactate level. In an aspect, a patient in need of administering with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having an increased blood glucose level. In an aspect, a TBI patient undergoing hemorrhagic shock having an increased aspartate aminotransferase (AST) level. In an aspect, a patient in need of administering with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having an increased alanine aminotransferase (ALT) level. In an aspect, a patient in need of administering with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having an increased urine neutrophil gelatinase-associated lipocalin (u-NGAL) level. In an aspect, a patient in need of administration with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having an increased serum creatinine level. In an aspect, a patient in need of administration with oxygen reduced blood is a TBI patient undergoing hemorrhagic shock having an increased blood urea nitrogen level.

[0074] In an aspect, oxygen reduced blood for use in administration to a traumatic brain injury (TBI) patient undergoing hemorrhagic shock in need thereof has an oxygen saturation of 20% or less. In an aspect, oxygen reduced blood has an oxygen saturation of 10% or less. In an aspect, oxygen reduced blood has an oxygen saturation of 5% or less. In an aspect, oxygen reduced blood has an oxygen saturation of 3% or less.

[0075] In an aspect, the oxygen reduced blood for use in administration to a traumatic brain injury’ (TBI) patient undergoing hemorrhagic shock in need thereof has a partial pressure of carbon dioxide (pCCh) at 37°C of between 10 and 40 mmHg. In an aspect, oxygen reduced blood has a pCCh at 37°C of between 10 and 30 mmHg. In an aspect, oxygen reduced blood has a pCO2at 37°C of between 10 and 20 mmHg. In an aspect, oxygen reduced blood has a pCCh at 37°C of betyveen 10 and 15 mmHg. In an aspect, oxygen reduced blood has a pCCh at 37°C of less than 10 mmHg.

[0076] In an aspect, oxygen reduced blood for use in administration to a traumatic brain injury- (TBI) patient undergoing hemorrhagic shock in need thereof has an oxygen saturation of 20% or less and is stored for less than 2 days. In an aspect, oxygen reduced blood has anoxygen saturation of 20% or less and is stored for less than 7 days. In an aspect, oxygen reduced blood has an oxygen saturation of 20% or less and is stored for less than 14 days. In an aspect, oxygen reduced blood has an oxygen saturation of 20% or less and is stored for less than 21 days. In an aspect, oxygen reduced blood for use in transfusion therapy of a trauma patient in need thereof has an oxygen saturation of 20% or less and is stored for less than 28 days. In an aspect, oxygen reduced blood has an oxygen saturation of 20% or less and is stored for less than 35 days. In an aspect, oxygen reduced blood has an oxygen saturation of 20% or less and is stored for less than 42 days. In an aspect, oxygen reduced blood has an oxygen saturation of 20% or less and is stored for less than 45 days. In an aspect, oxygen reduced blood has an oxygen saturation of 20% or less during storage.

[0077] Suitable blood for use in the methods according to the present disclosure for treating atraumatic brain injury (TBI) accompanied by hemorrhagic shock in a patient is oxygen reduced blood having an anticoagulant. In an aspect, oxygen reduced red blood cells is stored for up to 3 weeks to produce oxygen reduced blood. In an aspect, oxygen reduced blood may comprise an additive solution. Suitable additive solutions according to the present disclosure include additive solution l(AS-l), additive solution 3 (AS-3; Nutricel*), additive solution 5 (AS-5), saline-adenine-glucose-mannitol (SAGM), phosphate-adenine-glucose- guanosine-saline-mannitol (PAGG-SM), phosphate-adenine-glucose-guanosine-gluconate- mannitol (PAGG-GM), mannitol-adenine-phosphate (MAP), additive solution 7 (AS-7), erythro-sol 5 (ESOL-5), experimental additive solution 61 (EAS61), oxygen free additive solution 1 (OFAS1 ), oxygen free additive solution 3 (OFAS3), and any combinations thereof. In an aspect, the additive solution is added at the time of component separation. In an aspect, the additive solution is AS-1. In another aspect, the additive solution is AS-3. In other aspects, the additive solution is SAGM.

[0078] In an aspect of the present disclosure, a patient treated according to the methods disclosed herein has a traumatic brain injury accompanied by hemorrhagic shock due to a head trauma, a penetrating wound, blunt force trauma, injury7from a fall, or injury7from a car accident. In aspects of the present disclosure, a TBI patient undergoing hemorrhagic shock exhibits a Glasgow Coma Scale (GCS) score of 12 or less. In an aspect, a TBI patient undergoing hemorrhagic shock exhibits a GCS score of between 3 and 12. In an aspect, a TBI patient undergoing hemorrhagic shock exhibits a GCS score of between 9 and 12. In anaspect, a TBI patient undergoing hemorrhagic shock exhibits a GCS score of between 3 and 8.

[0079] In aspects of the present disclosure, a TBI patient undergoing hemorrhagic shock has a shock index (SI) of greater than 0.9. In an aspect, a TBI patient undergoing hemorrhagic shock has a shock index (SI) of greater than 1.0.

[0080] Methods of the present disclosure provide for, and include, increasing the arterial oxygen saturation (SO2) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the arterial SO of the TBI patient undergoing hemorrhagic shock is increased by at least 10% after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by at least 20% after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 20% after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 30% after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 40% after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 50% after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 30% after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 40% after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 50% after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 40% after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 50% after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 40% to 50% after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0081] In an aspect of the present disclosure, the arterial oxygen saturation (SO2) of a TBI patient undergoing hemorrhagic shock is increased by at least 1.5 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and duringstorage to the patient. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by at least 2 fold after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by at least 10 mmHg, at least 20 mmHg, at least 30 mmHg, at least 40 mmHg, at least 50 mmHg, or at least 60 mmHg after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20 and 50 mmHg after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 30 and 50 mmHg after the administering.

[0082] Methods of the present disclosure provide for, and include, increasing the arterial oxy gen saturation (SO2) of a TBI patient undergoing hemorrhagic shock, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient, compared to the SO2 of a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 40% after the administering, compared to a TBI patient undergoinghemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the arterial SO2 of a TBI patient undergoing hemorrhagic shock is increased by between 40% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased by at least 10%, 20%, 30%, 40%, or 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

[0083] Methods of the present disclosure provide for, and include, increasing the arterial oxygen saturation (SO2) of a TBI patient undergoing hemorrhagic shock to between about 70 and about 1 10 millimeters of mercury (mmHg), comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased to between about 80 and about 110 mmHg after the administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased to between about 90 and about 110 mmHg after administering. In an aspect, the arterial SO2 of the TBI patient undergoing hemorrhagic shock is increased to between about 75 and about 100 mmHg after administering.

[0084] Methods of the present disclosure provide for, and include, increasing the venous oxygen saturation (SO2) in a TBI patient undergoing hemorrhagic shock, comprising administering to the TBI patient undergoing hemorrhagic shock oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect,the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by at least 10% after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by at least 20% after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 20% after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 30% after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 40% after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 50% after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 30% after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 40% after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 50% after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 40% after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 50% after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 40% to 50% after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0085] In an aspect of the present disclosure, the venous oxygen saturation (SO2) of a TBI patient undergoing hemorrhagic shock is increased by at least 1.5 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by at least 2 fold after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by at least 10 mmHg, at least 20 mmHg, at least 30 mmHg, at least 40 mmHg, at least 50 mmHg, or at least 60 mmHg after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20 and 50 mmHg after the administering. In a further aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 30 and 50 mmHg after the administering.

[0086] Methods of the present disclosure provide for, and include, increasing the venous oxygen saturation (SO2) of a TBI patient undergoing hemorrhagic shock, comprising administering a TBI patient undergoing hemorrhagic shock with oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the venous SO2 of a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased at least 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased at least 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by betw een 20% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In anaspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by between 40% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the venous SO2 In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased by at least 10%, 20%, 30%, 40%, or 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0087] Methods of the present disclosure provide for, and include, increasing the venous oxygen saturation (SO2) of a TBI patient undergoing hemorrhagic shock to between about 70 and about 1 10 millimeters of mercury (mmHg), comprising administering a TBI patient undergoing hemorrhagic shock with oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased to between about 80 and about 110 mmHg after the administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased to between about 90 and about 110 mmHg after administering. In an aspect, the venous SO2 of the TBI patient undergoing hemorrhagic shock is increased to between about 75 and about 100 mmHg after administering.

[0088] The present disclosure provides for, and includes, a TBI patient undergoing hemorrhagic shock administered oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage who exhibits an improved parameter after the administering. In an aspect, a TBI patient undergoing hemorrhagic shock who is administeredoxygen reduced blood according to the present disclosure exhibits an improved parameter after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the improved parameter is improved pulmonary function. In an aspect, the improved pulmonary function is reduced levels of CXC motif chemokine ligand 1 (CXCL1), myeloperoxidase (MPO), lung neutrophils, or any combination thereof. In an aspect, the improved parameter is improved hepatic function. In an aspect, the improved hepatic function is reduced levels of alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP), bilirubin, interleukin 6 (IL-6), CXC motif chemokine ligand 1 (CXCL1), monocyte chemoattractant protein- 1 (MCP1), ferritin, albumin, albumin plus globulin (total protein), or any combination thereof. In an aspect, the improved parameter is improved splenic function. In an aspect, the improved splenic function is reduced levels of interleukin 6 (IL-6), CXC motif chemokine ligand 1 (CXCL1), monocyte chemoattractant protein- 1 (MCP1), ferritin, or any combination thereof. In an aspect, the improved parameter is improved cardiac function. In an aspect, the improved cardiac function is reduced levels of interleukin 6 (IL-6), tumor necrosis factor alpha (TNF-a), monocyte chemoattractant protein-1 (MCP1), troponin, plasma C reactive protein (CRP), plasma atrial natriuretic peptide (ANP), ferritin, or any combination thereof. In an aspect, the improved parameter is an improved cardiac parameter. In an aspect, the improved cardiac parameter is an increased stroke volume (SV), an increased stroke work (SW), an increased cardiac output (CO), an increased contractility, an increased arterial elastance, an increased internal energy' utilization (IEU), a reduced systolic volume (Ves), an increased end diastolic volume (Ved), a reduced systemic vascular resistance (SVR), or any combination thereof. In an aspect, the improved parameter is improved renal function. In an aspect, the improved renal function is reduced levels of neutrophil gelatinase-associated lipocalin (NGAL), urine creatinine, serum creatinine, blood urea nitrogen (BUN), or any combination thereof.

[0089] Methods of the present disclosure provide for, and include, reducing the level of CXC motif chemokine ligand 1 (CXCL1) in a TBI patient undergoing hemorrhagic shock, comprising administering to the TBI patient undergoing hemorrhagic shock oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the CXCL1 level in the TBIpatient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0090] In an aspect, the level of CXC motif chemokine ligand 1 (CXCL1) in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 1 .5 and 3 fold after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0091] Methods of the present disclosure provide for, and include, reducing the level of CXC motif chemokine ligand 1 (CXCL1) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation(SCh) of 20% or less prior to and during storage, compared to the level of CXCL1 in a TBI patient undergoing hemorrhagic shock having been administered the same amount of nonoxygen reduced conventionally stored blood. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 60% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by betw een 40% to 60% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 50% to 60% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced by at least 30%, 40%, 50%, or 60% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

[0092] Methods of the present disclosure provide for, and include, reducing the level of CXC motif chemokine ligand 1 (CXCL1) in a TBI patient undergoing hemorrhagic shock to between about 30 and about 90 picograms per milliliter (pg / rnL) of serum, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SCh) of 20% or less prior to and during storage. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 30 and about 50 pg / mL of serumafter the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 30 and about 70 pg / mL of serum after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 90 pg / mL of serum after the administering. In an aspect, the CXCL1 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 70 and about 90 pg / mL of serum after the administering.

[0093] Methods of the present disclosure provide for, and include, reducing the level of myeloperoxidase (MPO) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0094] In an aspect of the present disclosure, the level of the level of myeloperoxidase (MPO) in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering.In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0095] Methods of the present disclosure provide for, and include, reducing the level of myeloperoxidase (MPO) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of MPO in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after administering, compared to a TBI patient undergoing hemorrhagic shock having beenadministered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

[0096] Methods of the present disclosure provide for, and include, reducing the level of myeloperoxidase (MPO) in a TBI patient undergoing hemorrhagic shock to between about 10 and about 240 picograms per milliliter (pg / mL) of serum, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced to between about 30 and about 240 pg / mL of serum after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 240 pg / mL of serum after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced to between about 100 and about 240 pg / mL of serum after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced to between about 150 and about 240 pg / mL of serum after the administering. In an aspect, the MPO level in the TBI patient undergoing hemorrhagic shock is reduced to between about 180 and about 220 pg / mL of serum after the administering.

[0097] Methods of the present disclosure provide for, and include, reducing lung neutrophil content of a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 60% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 70% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 80% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 60% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 70% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 80% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 60% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 70% after the administering. In an aspect, the lung neutrophil content in theTBI patient undergoing hemorrhagic shock is reduced by between 30% to 80% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 60% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 70% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 80% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 50% to 60% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 50% to 70% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 50% to 80% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 60% to 70% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 60% to 80% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by between 70% to 80% after the administering. In an aspect, the lung neutrophil content in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, or 80% after the administering.

[0098] In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 1 .5 and 5 fold after the administering. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0099] Methods of the present disclosure provide for, and include, reducing the level of lung neutrophil content of a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of lung neutrophil content of a TBI patient undergoing hemorrhagic shock having been administered the same amount of nonoxygen reduced conventionally stored blood. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reducedconventionally stored blood. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of nonoxygen reduced conventionally stored blood.

[0100] Methods of the present disclosure provide for, and include, reducing lung neutrophil content of a TBI patient undergoing hemorrhagic shock to between 30% and 80%, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced to between 30% to 45% after the administering. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced to between 30% to 60% after the administering. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced to between 40% to 70% after the administering. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced to between 45% to 60% after the administering. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced to between 45% to 80% after the administering. In an aspect, the lung neutrophil content of the TBI patient undergoing hemorrhagic shock is reduced to between 60% to 80% after the administering.

[0101] Methods of the present disclosure provide for, and include, reducing the level of alkaline phosphatase (ALP) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the ALP level in the TBI patient undergoinghemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0102] In an aspect of the present disclosure, the level of alkaline phosphatase (ALP) in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 1 .5 and 5 fold after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0103] Methods of the present disclosure provide for, and include, reducing the level of alkaline phosphatase (ALP) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of ALP in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reducedconventionally stored blood. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20%, 30%, 40%, or 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

[0104] Methods of the present disclosure provide for, and include, reducing the level of alkaline phosphatase (ALP) in a TBI patient undergoing hemorrhagic shock to between about 30 and about 200 international units per liter (IU / L), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SCh) of 20% or less prior to and during storage. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock isreduced to between about 50 and about 200 IU / L after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced to between about 100 and about 200 IU / L after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced to between about 150 and about 200 IU / L after the administering. In an aspect, the ALP level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 150 IU / L after the administering.

[0105] Methods of the present disclosure provide for, and include, reducing the level of aspartate aminotransferase (AST) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0106] In an aspect of the present disclosure, the level of aspartate aminotransferase (AST) in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering.In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0107] Methods of the present disclosure provide for, and include, reducing the level of aspartate aminotransferase (AST) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of AST in a TBI patient undergoing hemorrhagic shock having been administered the same amount of nonoxygen reduced conventionally stored blood. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having beenadministered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20%, 30%, 40%, or 50% after administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0108] Methods of the present disclosure provide for, and include, reducing the level of aspartate aminotransferase (AST) in a TBI patient undergoing hemorrhagic shock to between about 5 and about 50 units per liter (U / L), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced to between about 10 and about 50 U / L after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced to between about 25 and about 50 U / L after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced to between about 5 and about 40 U / L after the administering. In an aspect, the AST level in the TBI patient undergoing hemorrhagic shock is reduced to between about 30 and about 50 U / L after the administering.

[0109] Methods of the present disclosure provide for, and include, reducing the level of albumin in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the albumin level in the TBIpatient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0110] In an aspect of the present disclosure, the level of albumin in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.[OlH] Methods of the present disclosure provide for, and include, reducing the level of albumin in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of albumin in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the sameamount of non-oxygen reduced conventionally stored blood. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20%, 30%, 40%, or 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

[0112] Methods of the present disclosure provide for, and include, reducing the level of albumin in a TBI patient undergoing hemorrhagic shock to between about 1.5 and about 8 grams per deciliter (g / dL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 3 and about 8 g / dL after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 5 and about 8 g / dL after the administering. In an aspect, the albumin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 3 and about 6 g / dL after the administering.

[0113] Methods of the present disclosure provide for, and include, reducing the level of albumin plus globulin (total protein) in a TBI patient undergoing hemorrhagic shock,comprising administering to patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%. 30%. 40%. or 50% after the administering.

[0114] In an aspect of the present disclosure, the level of albumin plus globulin (total protein) in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 1 .5 and 3 fold after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the total protein level in theTBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0115] Methods of the present disclosure provide for, and include, reducing the level of albumin plus globulin (total protein) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of total protein in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20%, 30%, 40%,or 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0116] Methods of the present disclosure provide for, and include, reducing the level of total protein plus globulin (total protein) in a TBI patient undergoing hemorrhagic shock to between about 2 and about 12 grams per deciliter (g / dL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced to between about 8 and about 12 g / dL after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced to between about 5 and about 12 g / dL after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced to between about 2 and about 10 g / dL after the administering. In an aspect, the total protein level in the TBI patient undergoing hemorrhagic shock is reduced to between about 5 and about 10 g / dL after the administering.

[0117] Methods of the present disclosure provide for, and include, reducing the level of bilirubin in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50%after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0118] In an aspect of the present disclosure, the level of bilirubin in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0119] Methods of the present disclosure provide for, and include, reducing the level of bilirubin in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of bilirubin in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by betw een 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In anaspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20%, 30%, 40%, or 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0120] Methods of the present disclosure provide for, and include, reducing the level of bilirubin in a TBI patient undergoing hemorrhagic shock to between about 5 and about 120 millimoles per liter (mmol / L). comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 30 and about 120 mmol / L after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 120 mmol / L after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 80 and about 120 mmol / L after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 5 and about 50 mmol / L after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 30 and about 100 mmol / L after the administering. In an aspect, the bilirubin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 100 mmol / L after the administering.

[0121] Methods of the present disclosure provide for, and include, reducing the level of interleukin-6 (IL-6) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0122] In an aspect of the present disclosure, the level of interleukin-6 (IL-6) in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering.In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0123] Methods of the present disclosure provide for, and include, reducing the level of interleukin-6 (IL-6) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20%, 30%, 40%, or 50% after the administering,compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0124] Methods of the present disclosure provide for, and include, reducing the level of interleukin-6 (IL-6) in a TBI patient undergoing hemorrhagic shock to between about 3 and about 8 picograms per milliliter (pg / mL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 4 and about 8 pg / mL after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 6 and about 8 pg / mL after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 3 and about 6 pg / mL after the administering. In an aspect, the IL-6 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 3 and about 4 pg / mL after the administering.

[0125] Methods of the present disclosure provide for, and include, reducing the level of tumor necrosis factor alpha (TNF-a) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by betw een 40% to 50% after the administering.In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0126] In an aspect of the present disclosure, the level of tumor necrosis factor alpha (TNF- a) in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0127] Methods of the present disclosure provide for, and include, reducing the level of tumor necrosis factor alpha (TNF-a) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of nonoxygen reduced conventionally stored blood. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering, compared to a TBI patient undergoinghemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20%, 30%, 40%, or 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0128] Methods of the present disclosure provide for, and include, reducing the level of tumor necrosis factor alpha (TNF-a) in a TBI patient undergoing hemorrhagic shock to between about 50 and about 100 picograms per milliliter (pg / mL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 70 pg / mL after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 90 pg / mL after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced to between about 70 and about 90 pg / mL after the administering. In an aspect, the TNF-a level in the TBI patient undergoing hemorrhagic shock is reduced to between about 70 and about 100 pg / mL after the administering.

[0129] Methods of the present disclosure provide for, and include, reducing the level of monocyte chemoattractant protein- 1 (MCP1) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after theadministering. In an aspect, the MCP 1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0130] In an aspect of the present disclosure, the level of monocyte chemoattractant protein- 1 (MCP1) in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0131] Methods of the present disclosure provide for, and include, reducing the level of monocyte chemoattractant protein-1 MCP1 in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation(SCh) of 20% or less prior to and during storage, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of nonoxygen reduced conventionally stored blood. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the MCP 1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MCP 1 level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced by at least 20%, 30%, 40%, or 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0132] Methods of the present disclosure provide for, and include, reducing the level of monocyte chemoattractant protein- 1 (MCP1) in a TBI patient undergoing hemorrhagic shock to between about 50 and about 200 picograms per milliliter (pg / mL), comprisingadministering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 75 and about 200 pg / mL after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 100 and about 200 pg / mL after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 150 and about 200 pg / mL after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 150 pg / mL after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 100 pg / mL after the administering. In an aspect, the MCP1 level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 75 pg / mL after the administering.

[0133] Methods of the present disclosure provide for, and include, reducing the level of ferritin in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by betw een 20% to 30% after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect,the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%. 40%. or 50% after the administering.

[0134] In an aspect of the present disclosure, the level of ferritin in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO?) of 20% or less prior to and during storage to the patient. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0135] Methods of the present disclosure provide for, and include, reducing the level of ferritin in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of ferritin in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 15% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 15% after the administering, compared to a TBI patient undergoinghemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by between 15% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5%, 10%, 15%, or 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

[0136] Methods of the present disclosure provide for, and include, reducing the level of ferritin in a TBI patient undergoing hemorrhagic shock to between about 5 and about 260 nanograms per milliliter (ng / mL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 260 ng / mL after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 100 and about 260 ng / mL after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 150 and about 260 ng / mL after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 200 and about 260 ng / mL after the administering.

[0137] Methods of the present disclosure provide for, and include, reducing the level of troponin in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by betw een10% to 50% after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0138] In an aspect of the present disclosure, the level of troponin in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0139] Methods of the present disclosure provide for, and include, reducing the level of troponin in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of troponin in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5% after the administering, compared to a TBI patientundergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5%, 10%, 20%, or 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0140] Methods of the present disclosure provide for, and include, reducing the level of troponin in a TBI patient undergoing hemorrhagic shock to between about 0.01 and about 0.1 nanograms per milliliter (ng / mL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 0.02 and about 0.1 ng / mL after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 0.04 andabout 0. 1 ng / mL after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 0.06 and about 0. 1 ng / mL after the administering. In an aspect, the troponin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 0.08 and about 0.1 ng / mL after the administering.

[0141] Methods of the present disclosure provide for, and include, reducing the level of plasma C reactive protein (CRP) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0142] In an aspect of the present disclosure, the level of plasma C reactive protein (CRP) in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the CRP level in the TBI patientundergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0143] Methods of the present disclosure provide for, and include, reducing the level of plasma C reactive protein (CRP) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of CRP in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of nonoxygen reduced conventionally stored blood. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced bybetween 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the CRP level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5%, 10%, 20%, or 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0144] Methods of the present disclosure provide for, and include, reducing the level of plasma C reactive protein (CRP) in a TBI patient undergoing hemorrhagic shock to between about 5 and about 15 milligrams per milliliter (mg / mL), comprising administering to the patient oxygen reduced blood having an oxy gen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 5 and about 10 mg / mL after the administering. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 10 and about 15 mg / mL after the administering.

[0145] Methods of the present disclosure provide for, and include, reducing the level of plasma atrial natriuretic peptide (ANP) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shockis reduced by between 40% to 50% after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0146] In an aspect of the present disclosure, the level of plasma atrial natriuretic peptide (ANP) in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0147] Methods of the present disclosure provide for, and include, reducing the level of plasma atrial natriuretic peptide (ANP) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of ANP in a TBI patient undergoing hemorrhagic shock having been administered the same amount of nonoxygen reduced conventionally stored blood. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ANP level in the TBI patient undergoinghemorrhagic shock is reduced by between 5% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5%, 10%, 20%, or 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

[0148] Methods of the present disclosure provide for, and include, reducing the level of plasma atrial natriuretic peptide (ANP) in a TBI patient undergoing hemorrhagic shock to between about 5 and about 30 picograms per milliliter (pg / mL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO?) of 20% or less prior to and during storage. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced to between about 25 and about 30 pg / rnL after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced to between about 20 and about 30 pg / mL after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced to between about 15 and about 30 pg / mL after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced to between about 10 and about 30 pg / mL after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced to between about 5 and about 15 pg / mL after the administering. In an aspect, the ANP level in the TBI patient undergoing hemorrhagic shock is reduced to between about 5 and about 20 pg / mL after the administering.

[0149] Methods of the present disclosure provide for, and include, increasing the level of interleukin 10 (IL- 10) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the IL-10 level in the TBI patient undergoing hemorrhagic shock is increased by between 10% to 20% after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 10% to 30% after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 10% to 40% after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 10% to 50% after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 20% to 30% after the administering. In an aspect, the IL-10 level in the TBI patient undergoing hemorrhagic shock is increased by between 20% to 40% after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 20% to 50% after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 30% to 40% after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 30% to 50% after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 40% to 50% after the administering. In an aspect, the IL-10 level in the TBI patient undergoing hemorrhagic shock is increased by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0150] In an aspect of the present disclosure, the level of interleukin 10 (IL-10) in a TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the IL-10 level in the TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 3 fold after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 5 fold after the administering. In an aspect, the IL-10 level in the TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 10 fold after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 3 and 5 fold after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 3 and 10 fold afterthe administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 5 and 10 fold after the administering.

[0151] Methods of the present disclosure provide for, and include, increasing the level of interleukin 10 (IL- 10) in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of IL- 10 in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by at least 5% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of nonoxygen reduced conventionally stored blood. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 5% to 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 5% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL-10 level in the TBI patient undergoing hemorrhagic shock is increased by between 5% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL-10 level in the TBI patient undergoing hemorrhagic shock is increased by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL-10 level in the TBI patient undergoing hemorrhagic shock is increased by at least 5%, 10%, 20%, or 30% after the administering,compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0152] Methods of the present disclosure provide for, and include, increasing the level of interleukin 10 (IL- 10) in a TBI patient undergoing hemorrhagic shock to between about 3 and about 12 picograms per milliliter (pg / mL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased to between about 3 and about 6 pg / mL after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased to between about 3 and about 9 pg / mL after the administering. In an aspect, the IL-10 level in the TBI patient undergoing hemorrhagic shock is increased to between about 6 and about 9 pg / mL after the administering. In an aspect, the IL- 10 level in the TBI patient undergoing hemorrhagic shock is increased to between about 9 and about 12 pg / mL after the administering.

[0153] Methods of the present disclosure provide for, and include, reducing the level of epinephrine in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% afterthe administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0154] In an aspect of the present disclosure, the level of epinephrine in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0155] Methods of the present disclosure provide for, and include, reducing the level of epinephrine in a TBI patent undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of epinephrine in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reducedby between 5% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5%, 10%, 20%, or 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

[0156] Methods of the present disclosure provide for, and include, reducing the level of epinephrine in a TBI patent undergoing hemorrhagic shock to between about 5 and about 150 picograms per milliliter (pg / mL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 100 and about 150 pg / mL after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 150 pg / mL after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 100 pg / mL after the administering. In an aspect, the epinephrine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 5 and about 50 pg / mL after the administering.

[0157] Methods of the present disclosure provide for, and include, reducing the level of norepinephrine in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the norepinephrine level in the TBI patient undergoinghemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the norepinephnne level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0158] In an aspect of the present disclosure, the level of norepinephrine in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SCh) of 20% or less prior to and during storage to the patient. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the norepinephnne level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0159] Methods of the present disclosure provide for, and include, reducing the level of norepinephrine in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of norepinephrine in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5%, 10%, 20%, or 30% after the administering, compared to a TBI patientundergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0160] Methods of the present disclosure provide for, and include, reducing the level of norepinephrine in a TBI patient undergoing hemorrhagic shock to between about 50 and about 2000 picograms per milliliter (pg / mL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 1500 and about 2000 pg / mL after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 1000 and about 2000 pg / mL after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 500 and about 2000 pg / mL after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 500 pg / mL after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 1000 pg / mL after the administering. In an aspect, the norepinephrine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 1500 pg / mL after the administering.

[0161] Methods of the present disclosure provide for, and include, reducing the level of cortisol in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by betw een 10% to 20% after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by betw een 10% to 40% after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by betw een 20% to 40% after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by betw een 20% to 50% after theadministering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0162] In an aspect of the present disclosure, the level of cortisol in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0163] Methods of the present disclosure provide for, and include, reducing the level of cortisol in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of cortisol in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the cortisol levelin the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5%, 10%, 20%, or 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0164] Methods of the present disclosure provide for, and include, reducing the level of cortisol in a TBI patient undergoing hemorrhagic shock to between about 2 and about 25 milligrams per deciliter (mg / dL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced to between about 20 and about 25 mg / dL after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced to between about 15 and about 25 mg / dL after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced to between about 10 and about 25 mg / dL after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced to between about 5 and about 25 mg / dL after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced tobetween about 5 and about 15 mg / dL after the administering. In an aspect, the cortisol level in the TBI patient undergoing hemorrhagic shock is reduced to between about 2 and about 10 mg / dL after the administering.

[0165] Methods of the present disclosure provide for, and include, reducing the level of urine creatinine in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 40% after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 50% after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 50% after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 40% after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 50% after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 40% to 50% after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0166] In an aspect of the present disclosure, the level of urine creatinine in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the urine creatinine level inthe TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0167] Methods of the present disclosure provide for, and include, reducing the level of urine creatinine in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of urine creatinine in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy genreduced conventionally stored blood. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5%, 10%, 20%, or 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0168] Methods of the present disclosure provide for, and include, reducing the level of urine creatinine in a TBI patient undergoing hemorrhagic shock to between about 10 and about 350 milligrams per deciliter (mg / dL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 300 and about 350 mg / dL after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 250 and about 350 mg / dL after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 200 and about 350 mg / dL after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 100 and about 350 mg / dL after the administering. In an aspect, the urine creatinine level in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 and about 350 mg / dL after the administering.

[0169] Methods of the present disclosure provide for, and include, increasing tissue oxygen saturation in one or more vital organs of a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the one or more vital organs are selected from the group consisting of the kidney, the liver, the lungs, the spleen, and the heart. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by at least 10% after the administering. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by at least 25% after the administering. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoinghemorrhagic shock is increased by between 10% to 20% after the administering. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 30% after the administering. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 40% after the administering. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 50% after the administering. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 30% after the administering. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 40% after the administering. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 50% after the administering. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 40% after the administering. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 50% after the administering. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 40% to 50% after the administering. In an aspect, the tissue oxygen saturation in one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by at least 10%, 20%, 30%, 40%, or 50% after the administering. In an aspect, the tissue oxygen saturation in each of the one or more vital organs of a TBI patient undergoing hemorrhagic shock is measured by administering an effective amount of pimonidazole to the patient and detecting the distribution of the pimonidazole in the one or more vital organs of the patient.

[0170] In an aspect, the tissue oxygen saturation in each of one or more vital organs of a TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the one or more vital organs are selected from the group consisting of the kidney, the liver, the lungs, the spleen, and the heart. In an aspect, the tissue oxygen saturation in each of one or more vital organs in a TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 3 fold after the administering.In an aspect, the tissue oxygen saturation in each of one or more vital organs in a TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 5 fold after the administering. In an aspect, the tissue oxygen saturation in each of one or more vital organs in a TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 10 fold after the administering. In an aspect, the tissue oxygen saturation in each of one or more vital organs in a TBI patient undergoing hemorrhagic shock is increased by between 3 and 5 fold after the administering. In an aspect, the tissue oxygen saturation in each of one or more vital organs in a TBI patient undergoing hemorrhagic shock is increased by between 3 and 10 fold after the administering. In an aspect, the tissue oxygen saturation in each of one or more vital organs in a TBI patient undergoing hemorrhagic shock is increased by between 5 and 10 fold after the administering.

[0171] Methods of the present disclosure provide for, and include, increasing the tissue oxygen saturation in one or more vital organs of a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the tissue oxygen saturation in the same one or more vital organs of a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the one or more vital organs are selected from the group consisting of the kidney, the liver, the lungs, the spleen, and the heart. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by at least 10% after the administering, compared to the tissue oxygen saturation in each of the same one or more vital organs of a TBI patient undergoing hemorrhagic shock having been administered in the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by at least 25% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered in the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patientundergoing hemorrhagic shock is increased by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by between 40% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shockhaving been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the tissue oxygen saturation in each of one or more vital organs of the TBI patient undergoing hemorrhagic shock is increased by at least 10%, 20%, 30%, 40%, or 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0172] Methods of the present disclosure provide for, and include, reducing the level of blood lactate in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the TBI patient undergoing hemorrhagic shock has a blood lactate level that is greater than 3.0 millimoles per liter (mmol / L) prior to the administering. In an aspect, the TBI patient undergoing hemorrhagic shock has a blood lactate level that is greater than 4.0 mmol / L prior to the administering. In an aspect, the TBI patient undergoing hemorrhagic shock has a blood lactate level that is greater than 5.0 mmol / L prior to the administering.

[0173] In an aspect, the blood lactate level in a TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 60% after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 90% after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 60% after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 90% after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 60% to 90% after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by greater than 90% after administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, or 90% after the administering. In an aspect, the blood lactate level in the TBI patientundergoing hemorrhagic shock is reduced by betw een 10% to 20%. 20% to 30%, 30% to 40%, 40% to 50%. 50% to 60%. 60% to 70%. 70% to 80%. or 80% to 90% after the administering.

[0174] In an aspect of the present disclosure, the level of blood lactate in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0175] Methods of the present disclosure provide for, and include, reducing the level of blood lactate in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the level of blood lactate in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by at least 15% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 15% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. Inan aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 15% to 60% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by betw een 15% to 90% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 60% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 90% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 60% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 90% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by between 60% to 90% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 15%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, or 90% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

[0176] Methods of the present disclosure provide for, and include, reducing the blood lactate level of a TBI patient undergoing hemorrhagic shock to between about 0.5 and about 3.0 millimoles per liter (mmol / L), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced to between about 0.9 and about 2 mmol / L after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced to between about 0.9 and about 1.7 mmol / L after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced to between about 1.4 and about 2.4 mmol / L after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced to between about 1.7 and about 2.5 mmol / L after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced to less than about 2.5 mmol / L after the administering. In an aspect, the lactate level in the TBI patient undergoing hemorrhagic shock is reduced to less than about 2.0 mmol / L after the administering. In an aspect, the lactate level in the TBI patient undergoing hemorrhagic shock is reduced to less than about 1.5 mmol / L after the administering. In an aspect, the lactate level in the TBI patient undergoing hemorrhagic shock is reduced to less than about 1.0 mmol / L after the administering. In an aspect, the lactate level in the TBI patient undergoing hemorrhagic shock is reduced to between about 0.5 and about 1.0 mmol / L after the administering.

[0177] Methods of the present disclosure provide for, and include, reducing the blood lactate level in a TBI patient undergoing hemorrhagic shock to less than 4 millimoles per liter (mmol / L), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced to less than 3 mmol / L after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced to less than 2.5 mmol / L after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced to less than 2.3 mmol / L after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced to less than 2 mmol / L after the administering. In an aspect, the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced to less than 1.5 mmol / L after the administering. In an aspect,the blood lactate level in the TBI patient undergoing hemorrhagic shock is reduced to less than 1 mmol / L after the administering.

[0178] Blood glucose level is known to be a predictor for outcome in several disease patterns and particularly in trauma patients, including patients with traumatic brain injury (TBI) accompanied by hemorrhagic shock. Trauma patients, including patients with TBI, are more prone to poor outcome due to hyperglycemia than other critically ill patients. See Kreutziger et al., "Admission blood glucose predicted hemorrhagic shock in multiple trauma patients,’’ Injury, 46: 15-20 (2015) (hereby incorporated by reference in its entirety). Studies evaluating the relationship of early hyperglycemia and trauma patients examined early hyperglycemia at three possible cutoffs: glucose > 110 mg / dL, glucose > 150 mg / dL, and glucose > 200 mg / dL. See Laird et al., "‘Relationship of early hyperglycemia to mortality in trauma patients,” J Trauma, 56: 1058-62 (2004) (hereby incorporated by reference in its entirety). In an aspect, a TBI patient undergoing hemorrhagic shock has a blood glucose level that is greater than 120 milligrams per deciliter (mg / dL) prior to administering oxygen reduced blood to the patient.

[0179] Methods of the present disclosure provide for, and include, reducing the blood glucose level in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 30% after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 60% after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 90% after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 60% after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 30% to 90% after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 60% to 90% after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by greater than 90% after administering. In an aspect, the blood glucose level in the TBI patientundergoing hemorrhagic shock is reduced by at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, or 90% after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 10% to 20%, 20% to 30%, 30% to 40%, 40% to 50%, 50% to 60%, 60% to 70%, 70% to 80%, or 80% to 90% after the administering.

[0180] In an aspect of the present disclosure, the blood glucose level in a TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SCh) of 20% or less prior to and during storage to the patient. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 3 fold after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 5 fold after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 1.5 and 10 fold after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 5 fold after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 3 and 10 fold after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 5 and 10 fold after the administering.

[0181] Methods of the present disclosure provide for, and include, reducing the blood glucose level in a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SCh) of 20% or less prior to and during storage, compared to the blood glucose level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by at least 5% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 5% to 90% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reducedby between 10% to 50% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 20% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 50% to 90% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by between 60% to 90% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by at least 10%, 15%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, or 90% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced by at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, or at least 90% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of nonoxygen reduced conventionally stored blood.

[0182] Methods of the present disclosure provide for, and include, reducing the blood glucose level in a TBI patient undergoing hemorrhagic shock to between about 70 and about 120 milligrams per deciliter (mg / dL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced to between about 70 and about 110 mg / dL after the administering. In another aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced to between about 70 and about 100 mg / dL after the administering. In another aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced to between about 90 and about 120 mg / dL after the administering. In another aspect, the blood glucose level in theTBI patient undergoing hemorrhagic shock is reduced to between about 90 and about 100 mg / dL after the administering.

[0183] Methods of the present disclosure provide for, and include, reducing the blood glucose level in a TBI patient undergoing hemorrhagic shock to less than 120 milligrams per deciliter (mg / dL), comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced to less than 110 mg / dL after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced to less than 100 mg / dL after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced to less than 200 mg / dL after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced to less than 90 mg / dL after the administering. In an aspect, the blood glucose level in the TBI patient undergoing hemorrhagic shock is reduced to less than 80 mg / dL after the administering.

[0184] Methods of the present disclosure provide for, and include, increasing the hematocrit of a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO?) of 20% or less prior to and during storage. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is less than 35% prior to the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is less than 25% prior to the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is less than 15% prior to the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by at least 10% after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 20% after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 30% after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 40% after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 50% after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 30% after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 40% after the administering. In an aspect, the hematocrit ofthe TBI patient undergoing hemorrhagic shock is increased by between 20% to 50% after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 40% after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 30% to 50% after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 40% to 50% after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by at least 10%, 20%, 30%, 40%, or 50% after the administering.

[0185] In an aspect of the present disclosure, the hematocrit of a TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 3 fold after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 5 fold after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 10 fold after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 3 and 5 fold after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 3 and 10 fold after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 5 and 10 fold after the administering.

[0186] Methods of the present disclosure provide for, and include, increasing the hematocrit of a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the hematocrit of a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by at least 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy genreduced conventionally stored blood. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 30% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by between 20% to 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased by at least 5%, 10%, 20%, 30%, or 40% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0187] Methods of the present disclosure provide for, and include, increasing the hematocrit of a TBI patient undergoing hemorrhagic shock to between about 35% and about 55%, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased to between about 40% and about 50% after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased to between about 40% and about 55% after the administering. In an aspect, the hematocrit of the TBI patient undergoing hemorrhagic shock is increased to between about 35% to 45% after the administering.

[0188] Methods of the present disclosure provide for, and include, increasing the cardiac output (CO) of a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by at least 2% after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 2% to 5% after theadministering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 2% to 10% after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 2% to 15% after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 2% to 20% after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 5% to 10% after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 5% to 15% after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 5% to 20% after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 10% to 20% after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 15% to 20% after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by at least 2%, 5%, 10%, 15%, or 20% after the administering.

[0189] In an aspect of the present disclosure, the cardiac output (CO) of a TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 10 fold after administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 3 fold after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 5 fold after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 1.5 and 10 fold after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 3 and 5 fold after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 3 and 10 fold after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 5 and 10 fold after the administering.

[0190] Methods of the present disclosure provide for, and include, increasing the cardiac output (CO) of a TBI patient undergoing hemorrhagic shock, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, compared to the cardiac output of a TBI patient undergoing hemorrhagicshock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by at least 2% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 2% to 5% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 2% to 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 2% to 15% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 2% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 5% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 5% to 10% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 5% to 15% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 5% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased bybetween 10% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by between 15% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased by at least 2%, 5%, 10%, 15%, or 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

[0191] Methods of the present disclosure provide for, and include, increasing the cardiac output of a TBI patient undergoing hemorrhagic shock to between about 1 liter per minute (L / min) and about 10 L / min, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased to between about 1 L / min and about 5 L / min after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased to between about 1 L / min and about 8 L / min after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased to between about 5 L / min and about 8 L / min after the administering. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased to between about 5 L / min and about 10 L / min after the administering.

[0192] Methods of the present disclosure provide for, and include, improving hepatic function in a traumatic brain inj ury (TBI) patient in need thereof, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In aspects, improved hepatic function comprises a reduced bilirubin level, a reduced alkaline phosphatase (ALP) level, a reduced aspartate aminotransferase (AST) level, a reduced albumin plus globulin (total protein) level, a reduced interleukin 6 (IL-6) level, a reduced CXC motif chemokine ligand 1 (CXCL1) level, a reduced monocyte chemoattractant protein-1 (MCP1) level, a reduced ferritin level, an increased Glasgow Coma Scale (GCS) score, a reduced shock index (SI), and any combination thereof after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patient having improved splenic function after the administering. In an aspect, oxygenreduced blood having an oxygen saturation (SO2) of 10% or less prior to and during storage is administered to the patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxygen reduced blood is administered to the patient having a TBI accompanied by hemorrhagic shock by transfusion.

[0193] In an aspect, improving hepatic function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has a bilirubin level that is reduced by at least 20% after the administering, compared to the bilirubin level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the bilirubin level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 5 millimoles per liter (mmol / L) and about 120 mmol / L after the administering.

[0194] In an aspect, improving hepatic function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has an alkaline phosphatase (ALP) level that is reduced by at least 20% after the administering, compared to the ALP level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ALP level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 30 international units per liter (IU / L) and about 200 IU / L after the administering.

[0195] In an aspect, improving hepatic function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has an aspartate aminotransferase (AST) level that is reduced by at least 10% after the administering. compared to the AST level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the AST level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 5 units per liter (U / L) and about 40 U / L after the administering.

[0196] In an aspect, improving hepatic function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has an albumin level that is reduced after the administering, compared to the albumin level in a TBI patientundergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the albumin level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 3 grams per deciliter (g / dL) and about 6 g / dL after the administering.

[0197] In an aspect, improving hepatic function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has an albumin plus globulin (total protein) level that is reduced after the administering, compared to the total protein level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the albumin plus globulin (total protein) level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 5 grams per deciliter (g / dL) and about 10 g / dL after the administering.

[0198] In an aspect, improving hepatic function in a traumatic brain injury7(TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has an interleukin 6 (IL-6) level that is reduced by at least 20% after the administering, compared to the IL-6 level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL-6 level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 3 picograms per milliliter (pg / mL) and about 8 pg / mL of blood after the administering.

[0199] In an aspect, improving hepatic function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has a CXC motif chemokine ligand 1 (CXCL1) level that is reduced by at least 30% after the administering, compared to the CXCL1 level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the CXCL1 level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 30 picograms per milliliter (pg / mL) and about 90 pg / mL of serum after the administering.

[0200] In an aspect, improving hepatic function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygensaturation (SO2) of 20% or less prior to and during storage, where the patient has a monocyte chemoattractant protein- 1 (MCP1) level of that is reduced by at least 20% after the administering, compared to the MCP1 level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the MCP1 level of the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 50 picograms per milliliter (pg / mL) and about 200 pg / mL of plasma after the administering.

[0201] In an aspect, improving hepatic function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has a ferritin level that is reduced by between 5% to 20% after the administering, compared to the ferritin level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the ferritin level in the TBI patient undergoing hemorrhagic shock is reduced to between about 5 milligrams per liter (mg / L) and about 260 mg / L after the administering.

[0202] In an aspect, improving hepatic function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient exhi bi ts a Glasgow Coma Scale (GCS) score of 12 or less prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock exhibits a GCS score of betw een 3 and 12 prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a GCS score of between 13 and 15 after the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a shock index (SI) of greater than 0.9 prior to the administering. In an aspect, the SI of the patient having a TBI accompanied by hemorrhagic shock is reduced to between 0.5 and 0.9 after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patient having improved hepatic function after the administering. In an aspect, oxygen reduced blood having an oxygen saturation (SO2) of 10% or less prior to and during storage is administered to the patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxygen reduced blood is administered by transfusion to the patient having a TBI accompanied by hemorrhagic shock.

[0203] Methods of the present disclosure provide for, and include, improving splenic function in a traumatic brain injury’ (TBI) patient in need thereof, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In aspects, improved splenic function comprises a reduced monocyte chemoattractant protein-1 (MCP1) level, a reduced ferritin level, an increased Glasgow Coma Scale (GCS) score, a reduced shock index (SI), and any combination thereof after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patient having improved splenic function after the administering. In an aspect, oxygen reduced blood having an oxygen saturation (SO2) of 10% or less prior to and during storage is administered to the patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxygen reduced blood is administered to the patient having a TBI accompanied by hemorrhagic shock by transfusion.

[0204] In an aspect, improving splenic function in atraumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has a monocyte chemoattractant protein- 1 (MCP1) level that is reduced by at least 20% after the administering, compared to the MCP1 level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the MCP1 level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 50 picograms per milliliter (pg / mL) and about 200 pg / mT after the administering.

[0205] In an aspect, improving splenic function in atraumatic brain injury’ (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has a ferritin level that is reduced by between about 5% to about 20% after the administering, compared to the ferritin level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ferritin level of the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 5 milligrams per liter (mg / L) and about 260 mg / L after the administering.

[0206] In an aspect, improving splenic function in atraumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient exhibits aGlasgow Coma Scale (GCS) score of 12 or less prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock exhibits a GCS score of between 3 and 12 prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a GCS score of between 13 and 15 after the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a shock index (SI) of greater than 0.9 prior to the administering. In an aspect, the SI of the patient having a TBI accompanied by hemorrhagic shock is reduced to between 0.5 and 0.9 after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patent having improved splenic function after the administering. In an aspect, oxygen reduced blood having an oxygen saturation (SO2) of 10% or less prior to and during storage is administered to the patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxygen reduced blood is administered to the patient having a TBI accompanied by hemorrhagic shock by transfusion.

[0207] Methods of the present disclosure provide for, and include, improving cardiac function in a traumatic brain injury (TBI) patient in need thereof, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In aspects, improved cardiac function comprises a reduced troponin level, a reduced plasma C reactive protein (CRP) level, a reduced plasma atrial natriuretic peptide (ANP) level, a reduced ferritin level, a interleukin-6 (IL-6) level, a reduced tumor necrosis factor alpha (TNF-a) level, a reduced monocyte chemoattractant protein- 1 (MCP1) level, an increased cardiac output (CO), an increased Glasgow Coma Scale (GCS) score, a reduced shock index (SI), and any combination thereof after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patient having improved cardiac function after the administering. In an aspect, oxygen reduced blood having an oxygen saturation (SO2) of 10% or less prior to and during storage is administered to the patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxygen reduced blood is administered to the patient having a TBI accompanied by hemorrhagic shock bytransfusion.

[0208] In an aspect, improving cardiac function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has a troponin level that is reduced by at least 5% after the administering, compared to the troponin level ina TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the troponin level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 0.01 nanograms per milliliter (ng / mL) and 0.1 ng / mL after the administering.

[0209] In an aspect, improving cardiac function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has a plasma C reactive protein (CRP) level that is reduced by at least 5% after the administering, compared to the CRP level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the CRP level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 5 milligrams per liter (mg / L) and about 15 mg / L after the administering.

[0210] In an aspect, improving cardiac function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has a plasma atrial natriuretic peptide (ANP) level that is reduced by at least 5% after the administering, compared to the plasma ANP level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the plasma ANP level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 5 picograms per milliliter (pg / mL) and about 30 pg / mL after the administering.

[0211] In an aspect, improving cardiac function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has ferritin level that is reduced by between 5% and 20% after administering, compared to the ferritin level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the ferritin level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 5 milligrams per liter (mg / L) and about 260 mg / L after the administering.

[0212] In an aspect, improving cardiac function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has aninterleukin-6 (IL-6) level that is reduced by at least 20% after the administering, compared to the IL-6 level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the IL-6 level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 3 picograms per milliliter (pg / mL) and about 8 pg / mL of blood after the administering.

[0213] In an aspect, improving cardiac function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has a tumor necrosis factor alpha (TNF-a) level that is reduced by at least 5% after the administering, compared to the TNF-a level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the TNF-a level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 50 picograms per milliliter (pg / mL) and about 100 pg / mL of blood after the administering.

[0214] In an aspect, improving cardiac function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has a monocyte chemoattractant protein-1 (MCP1) level that is reduced by at least 20% after the administering, compared to the MCP1 level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the MCP1 level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 50 picograms per milliliter (pg / mL) and about 200 pg / mL of plasma after the administering.

[0215] In an aspect, improving cardiac function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has a cardiac output (CO) that is increased by at least 5% after the administering, compared to the cardiac output of a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the cardiac output of the TBI patient undergoing hemorrhagic shock is increased to between about 1 liter per minute (L / min) and about 10 L / min after the administering.

[0216] In an aspect, improving cardiac function in a traumatic brain injury' (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient exhibits a Glasgow Coma Scale (GCS) score of 12 or less prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock exhibits a GCS score of between 3 and 12 prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a GCS score of between 13 and 15 after the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a shock index (SI) of greater than 0.9 prior to the administering. In an aspect, the SI of the patient having a TBI accompanied by hemorrhagic shock is reduced to between 0.5 and 0.9 after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patient having improved cardiac function after the administering. In an aspect, oxygen reduced blood having an oxygen saturation (SO2) of 10% or less prior to and during storage is administered to the patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxygen reduced blood is administered to a patient having a TBI accompanied by hemorrhagic shock by transfusion.

[0217] Methods of the present disclosure provide for, and include, improving pulmonary function in a traumatic brain injury' (TBI) patient in need thereof, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In aspects, improved pulmonary function comprises a reduced monocyte chemoattractant protein- 1 (MCP1) level, a reduced lung neutrophil content, an increased Glasgow Coma Scale (GCS) score, a reduced shock index (SI), and any combination thereof after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patient having improved pulmonary function after the administering. In an aspect, oxygen reduced blood having an oxygen saturation (SO2) of 10% or less prior to and during storage is administered to the patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxy gen reduced blood is administered to the patient having a TBI accompanied by hemorrhagic shock by transfusion.

[0218] In an aspect, improving pulmonary function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where a myeloperoxidase (MPO) level in the patient is reduced after the administering, compared to the MPO level in aTBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the MPO level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 10 nanograms per milliliter (ng / mL) and about 240 ng / mL after the administering.

[0219] In an aspect, improving pulmonary function in a traumatic brain injury' (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient has a lung neutrophil content that is reduced after the administering, compared to the lung neutrophil content of a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the lung neutrophil content of the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 40% and about 70% after the administering. In an aspect, the lung neutrophil content of the patient having a TBI accompanied by hemorrhagic shock is measured by flow cytometry.

[0220] In an aspect, improving pulmonary function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient exhibits a Glasgow Coma Scale (GCS) score of 12 or less prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock exhibits a GCS score of between 3 and 12 prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a GCS score of between 13 and 15 after the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a shock index (SI) of greater than 0.9 prior to the administering. In an aspect, the SI of the patient having a TBI accompanied by hemorrhagic shock is reduced to between 0.5 and 0.9 after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patient having improved pulmonary function after the administering. In an aspect, oxygen reduced blood having an oxygen saturation (SO2) of 10% or less prior to and during storage is administered to a patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxygen reduced blood is administered to a patient having a TBI accompanied by hemorrhagic shock by transfusion.

[0221] Methods of the present disclosure provide for, and include, improving renal function in a traumatic brain injury (TBI) patient in need thereof, comprising administering to thepatient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In aspects, improved renal function comprises a reduced urine creatinine level, an increased Glasgow Coma Scale (GCS) score, a reduced shock index (SI), and any combination thereof after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patient having improved renal function after the administering. In an aspect, oxygen reduced blood having an oxygen saturation (SO2) of 10% or less prior to and during storage is administered to the patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxygen reduced blood is administered to the patient having a TBI accompanied by hemorrhagic shock by transfusion.

[0222] In an aspect, improving renal function in a traumatic brain injury' (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the urine creatinine level in the patient is reduced by at least 5% after the administering, compared to the urine creatinine level in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the urine creatinine level in the patient having a TBI accompanied by hemorrhagic shock is reduced to between about 10 milligrams per deciliter (mg / dL) and about 350 mg / dL after the administering.

[0223] In an aspect, improving renal function in a traumatic brain injury (TBI) patient in need thereof comprises administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage, where the patient exhibits a Glasgoyv Coma Scale (GCS) score of 12 or less prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock exhibits a GCS score of between 3 and 12 prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a GCS score of between 13 and 15 after the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a shock index (SI) of greater than 0.9 prior to the administering. In an aspect, the SI of the patient having a TBI accompanied by hemorrhagic shock is reduced to betyveen 0.5 and 0.9 after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patient having improved renal function after the administering. In an aspect, oxygen reduced blood having an oxygen saturation (SO2) of 10% or less prior to and during storage is administered to a patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxygen reducedblood is administered to the patient having a TBI accompanied by hemorrhagic shock by transfusion.

[0224] Methods of the present disclosure provide for, and include, increasing the level of a plasma serum cytokine selected from the group consisting of interleukin 6 (IL-6), CXC motif chemokine ligand 1 (CXCL1), interleukin 10 (IL-10), and any combination thereof, in a traumatic brain injury (TBI) patient in need thereof, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the plasma level of IL- 10 is increased in the patient by at least 5% after the administering, compared to the level of IL- 10 in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the plasma level of IL- 10 is increased to between about 3 picograms per milliliter (pg / rnL) and about 12 pg / mL after the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock exhibits a Glasgow Coma Scale (GCS) score of 12 or less prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock exhibits a GCS score of between 3 and 12 prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a GCS score of between 13 and 15 after the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a shock index (SI) of greater than 0.9 prior to the administering. In an aspect, the SI of the patient having a TBI accompanied by hemorrhagic shock is reduced to between 0.5 and 0.9 after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patient having an increased level of a plasma serum cytokine after the administering. In an aspect, oxygen reduced blood having an oxygen saturation (SO2) of 10% or less prior to and during storage is administered to the patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxygen reduced blood is administered to a patient having a TBI accompanied by hemorrhagic shock by transfusion.

[0225] Methods of the present disclosure provide for, and include, modulating a stress level marker selected from the group consisting of epinephrine, norepinephrine, cortisol, and any combination thereof, in a traumatic brain injury (TBI) patient in need thereof, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the stress level marker is a plasma stress level marker. In an aspect, the plasma level of epinephrine is reduced by at least 5% in thepatient after the administering, compared to the plasma level of epinephrine in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood. In an aspect, the plasma level of epinephrine in the TBI patient undergoing hemorrhagic shock is reduced to between about 5 picograms per milliliter (pg / mL) and about 150 pg / mL after the administering. In an aspect, the plasma level of epinephrine is reduced by at least 5% in the patient after the administering, compared to the plasma level of epinephrine in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the plasma level of epinephrine in the TBI patient undergoing hemorrhagic shock is reduced to between about 50 picograms per milliliter (pg / mL) and about 2000 pg / mL after the administering. In an aspect, the plasma level of cortisol is reduced by at least 5% in the patient after the administering, compared to the plasma level of cortisol in a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood. In an aspect, the plasma level of epinephrine in the TBI patient undergoing hemorrhagic shock is reduced to between about 2 milligrams per deciliter (mg / dL) and about 25 mg / dL after the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock exhibits a Glasgow Coma Scale (GCS) score of 12 or less prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock exhibits a GCS score of between 3 and 12 prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a GCS score of between 13 and 15 after the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a shock index (SI) of greater than 0.9 prior to the administering. In an aspect, the SI of the patient having a TBI accompanied by hemorrhagic shock is reduced to between 0.5 and 0.9 after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patient having a modulated stress marker after the administering. In an aspect, oxygen reduced blood having an oxygen saturation (SO2) of 10% or less prior to and during storage is administered to the patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxygen reduced blood is administered to a patient having a TBI accompanied by hemorrhagic shock by transfusion.

[0226] Methods of the present disclosure provide for, and include, increasing tissue oxygenation (oxygen perfusion) in one or more vital organs selected from the group consisting of the kidney, the liver, the lungs, the spleen, the heart, and any combinationthereof in a traumatic brain injury (TBI) patient in need thereof, comprising administering to the patient oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage. In an aspect, the tissue oxygen saturation in each of the one or more vital organs is increased by at least 5% after the administering. In an aspect, the tissue oxygen saturation in each of the one or more vital organs is increased by at least 10% after the administering. In an aspect, the tissue oxygen saturation in each of the one or more vital organs is increased by at least 15% after the administering. In an aspect, the tissue oxygen saturation in each of the one or more vital organs is increased by at least 25% after the administering. In an aspect, the tissue oxygen saturation in each of the one or more vital organs is increased by between 10% and 20% after the administering. In an aspect, the tissue oxygen saturation in each of the one or more vital organs is increased by between 5% and 25% after the administering. In an aspect, the tissue oxygen saturation in the patient having a TBI accompanied by hemorrhagic shock is measured by administering an effective amount of pimonidazole to the patient and detecting the distribution of the pimonidazole hydrochloride in the one or more vital organs of the patient. In an aspect, the patient having a TBI accompanied by hemorrhagic shock exhibits a Glasgow Coma Scale (GCS) score of 12 or less prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock exhibits a GCS score of between 3 and 12 prior to the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a GCS score of between 13 and 15 after the administering. In an aspect, the patient having a TBI accompanied by hemorrhagic shock has a shock index (SI) of greater than 0.9 prior to the administering. In an aspect, the SI of the patient having a TBI accompanied by hemorrhagic shock is reduced to between 0.5 and 0.9 after the administering. In an aspect, the TBI is stabilized and the hemorrhagic shock is reversed in the patient having increased tissue oxygenation in one or more vital organs after the administering. In an aspect, oxygen reduced blood having an oxygen saturation (SO?) of 10% or less prior to and during storage is administered to the patient having a TBI accompanied by hemorrhagic shock. In an aspect, oxygen reduced blood is administered to the patient having a TBI accompanied by hemorrhagic shock by transfusion.

[0227] As used herein, the singular forms "‘a,” “an,” and “the” include plural references unless the context clearly dictates otherwise. For example, the term “a compound” or “at least one compound” can include a plurality of compounds, including mixtures thereof.

[0228] As used herein the term “about” refers to ± 10 %.

[0229] As used herein, the term “adverse event” includes an event resulting from a traumatic brain injury (TBI), hemorrhagic shock, or a combination of TBI and hemorrhagic shock in a TBI patient undergoing hemorrhagic shock.

[0230] As used herein, the term “blood” refers to whole blood, leukoreduced red blood cells (RBCs), platelet reduced RBCs, and leukocyte and platelet reduced RBCs. The term “blood” further includes packed red blood cells, platelet reduced packed red blood cells, leukocyte reduced packed red blood cells, and leukocyte and platelet reduced packed red blood cells. The temperature of blood can vary' depending on the stage of the collection process, starting at the normal body temperature of 37 °C at the time and point of collection, but decreasing rapidly to about 30 °C as soon as the blood leaves the patient's body and further thereafter to room temperature in about 6 hours when untreated, and ultimately being refrigerated at between about 4 °C and 6 °C. Human red blood cells in vivo are in a dynamic state. The red blood cells contain hemoglobin, the iron-containing protein that carries oxygen throughout the body and gives red blood its color. The percentage of blood volume composed of red blood cells is called the hematocrit. As used herein, unless otherwise limited, RBCs also includes packed red blood cells (pRBCs). Packed red blood cells are prepared from whole blood using centrifugation techniques commonly know n in the art. As used herein, unless otherwise indicated, the hematocrit of pRBCs is about 70%. As used herein, oxygen reduced stored RBCs can include oxygen and carbon dioxide reduced stored RBCs. As used herein, oxygen reduced (OR) blood can include oxygen and carbon dioxide (OCR) reduced blood.

[0231] As used herein, the terms “comprises,” “comprising,” “includes,” “including,” “having,” and their conjugates mean “including but not limited to.”

[0232] As used herein, the term “consisting of' means “including and limited to.”

[0233] As used herein, the term “consisting essentially of means that the composition, method or structure can include additional ingredients, steps and / or parts, but only if the additional ingredients, steps and / or parts do not materially alter the basic and novel characteristics of the claimed composition, method or structure.

[0234] As used herein, “Glasgow Coma Scale” (also abbreviated herein as “GCS”) refers to a scoring system to objectively describe the extent of impaired consciousness in any and all ty pes of acute medical and trauma patients. The scale assesses patients according to three aspects of responsiveness: eye-opening response, motor response, and verbal response. Apatient's responsiveness in each aspect is given a score ranging from 1 (indicating no response) to 4, 5. or 6 (indicating the normal values for eye-opening response, motor response, and verbal response, respectively). See Mehta et al., “Glasgow coma scale explained,” The BMJ, 2019;365:| 1296 (2019). The GCS score for a patient as used herein is the sum of the patient’s scores in each of the abovementioned aspects of responsiveness.

[0235] As used herein, “shock index” (also abbreviated herein as “SI”) refers to a formula for assessing the severity of hypovolemic (including hemorrhagic) shock in a patient. The formula is the heart rate (HR) of a patient divided by the systolic blood pressure (SBP) of the patient. In general, a patient with an SI equal to or greater than 0.9 is at higher risk for adverse outcomes, including mortality.

[0236] As used herein, the term “hemorrhagic shock” is shock brought on by a loss of circulating blood volume and / or oxygen carrying capacity. Hemorrhagic shock results from any condition associated with blood loss, internal ( .g., gastrointestinal bleeding) or external hemorrhage, and trauma (e.g., penetrating or blunt trauma), among others. Hemorrhagic shock may be considered a type of hypovolemic shock specifically related to blood loss.

[0237] As used herein, “hypovolemic shock” is shock brought on by a loss of fluids (including blood or extracellular fluids). Hypovolemic shock results in organ dysfunction due to inadequate tissue perfusion. Hypovolemic shock results from any condition associated with blood and / or fluid loss, such as internal or external hemorrhage, trauma, surgery, prolonged dehydration, diarrhea, and severe bums, among others.

[0238] As used herein, “a patient having a traumatic brain injury accompanied by hemorrhagic shock” and a “traumatic brain injury (TBI) patient undergoing hemorrhagic shock” are used interchangeably and should be understood to describe a patient having both a traumatic brain injury and hemorrhagic shock. For example, “a traumatic brain injury accompanied by hemorrhagic shock” is meant to describe the same condition afflicting “a TBI patient undergoing hemorrhagic shock.” In a patient presenting with both a traumatic brain injury and hemorrhagic shock, the traumatic brain injury' may induce the hemorrhagic shock in the patient. As used herein, “traumatic brain injury’ accompanied by hemorrhagic shock” is also abbreviated as “TBI + HS.”

[0239] As used herein, the terms “higher”, “greater” or “increased” means that the measured values of oxygen reduced blood, when compared to the measured values of otherwise equivalently treated non-oxygen reduced conventionally stored blood, are at least 1standard deviation greater, with a sample size of at least 2 for each compared measured condition.

[0240] As used herein, the terms “injury’’, “damage”, and “failure” refer to an organ not functioning properly or not functioning as is expected in a person or animal without disease or injury.

[0241] As used herein, the term “less than” refers to a smaller amount and an amount greater than zero.

[0242] As used herein, the terms “patient” and “subject” are used interchangeably to mean a human or animal in need of treatment with the methods disclosed herein.

[0243] As used herein, the terms “reduce”, “reduced”, “lower”, “decreased” or “less” means that the measured values of oxygen reduced blood when compared to the measured values of otherwise equivalently treated non-oxygen reduced conventionally stored blood, are at least 1 standard deviation lower, with a sample size of at least 2 for each compared measured condition.

[0244] Various aspects of this disclosure may be presented as a fold change (e.g., a fold increase or a fold reduction). Within the context of measured values of oxygen reduced blood when compared to the measured values of otherwise equivalently treated non-oxygen reduced conventionally stored blood in the disclosure, the word “fold” should be understood to entail a multiplication in the case of a fold increase, or a division in the case of a fold reduction.For example, “increased by 2 fold” means a multiplication by 2. As another example, “reduced by 2 fold” means a division by 2.

[0245] As used herein, the term “traumatic brain injury” (also abbreviated herein as “TBI”) is a form of acquired brain injury' that occurs when a sudden trauma to the head causes damage to the brain. Traumatic brain injury may result when the head suddenly and violently hits an object, or when an object pierces the skull and enters brain tissue.

[0246] As used herein, “stabilizes”, “stabilized”, and its conjugates refer to a patient with a traumatic brain injury or a traumatic brain injury' accompanied by hemorrhagic shock yvho is no longer at risk for further injury stemming from the traumatic brain injury (also known as secondary brain injury). Procedures to stabilize a patient with a traumatic brain injury or a traumatic brain injury accompanied by hemorrhagic shock are kno vn in the art and include, but are not limited to, ensuring proper oxygen supply to the brain and the body, maintaining adequate blood flow, controlling blood pressure, and any combination thereof. Ensuring noproper oxygen supply to the brain and the body may involve, for example, increasing the oxygen saturation level of the patient to between about 90% and about 98%. Maintaining adequate blood flow may involve, for example, increasing the cardiac output of the patient to between about 2 liter per minute (L / min) to about 10 L / min. Controlling blood pressure may involve, for example, increasing the systolic blood pressure of the patient to equal to or greater than 100 millimeters of mercury (mmHg). In some aspects, the systolic blood pressure of the patient may be increased to equal to or greater than 110 mmHg.

[0247] As used herein, a “unit” of blood is about 450-500 mL including anticoagulant. Suitable a...

Claims

CLAIMSWe claim:

1. A method of treating a traumatic brain injury (TBI) accompanied by hemorrhagic shock in a patient in need thereof comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to the patient, wherein the patient exhibits a Glasgow Coma Scale (GCS) score of 12 or less prior to the administering, the patient has a shock index (SI) of greater than 0.9 prior to the administering, and wherein the patient exhibits a GCS score of at least 13 after the administering, and wherein the hemorrhagic shock is reversed after the administering.

2. The method of claim 1, wherein the patient has improved function after the administering, wherein the improved function is selected from the group consisting of improved pulmonary function, improved hepatic function, improved splenic function, improved cardiac function, improved renal function, and any combination thereof.

3. The method of claim 1 or claim 2, wherein the patient has a reduced level of CXC motif chemokine ligand 1 (CXCL1), myeloperoxidase (MPO), lung neutrophils, alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP), bilirubin, interleukin 6 (IL-6), monocyte chemoattractant protein- 1 (MCP1), ferritin, albumin, albumin plus globulin (total protein), tumor necrosis factor alpha (TNF alpha), troponin, plasma C reactive protein (CRP), plasma atrial natriuretic peptide (ANP), neutrophil gelatinase- associated lipocalin (NGAL), urine creatinine, serum creatinine, blood urea nitrogen (BUN), or any combination thereof after the administering.

4. The method of claim 3, wherein the bilirubin level in the patient is reduced by at least 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

5. The method of claim 4, wherein the bilirubin level is reduced to between 5 millimoles per liter (mmol / L) and 120 mmol / L after the administering.

6. The method of any one of claims 3 to 5, wherein the patient has a troponin level that is reduced by at least 5% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

7. The method of any one of 3 to 6, wherein the MCP1 level in the patient is reduced by at least 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

8. The method of claim 7, wherein the MCP1 level is reduced to between 50 picograms per milliliter (pg / mL) and 200 pg / mL of plasma after the administering.

9. The method of any one of claims 3 to 8, wherein the ferritin level in the patient is reduced by between 5% to 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

10. The method of any one of claims 1 to 9, wherein the patient has a hematocrit of less than 35% prior to the administering.

11. A method of improving hepatic function in a traumatic brain injury (TBI) patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having atraumatic brain injury accompanied by hemorrhagic shock, wherein the patient has a bilirubin level that is reduced by at least 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

12. The method of claim 1 1, wherein the bilirubin level is reduced to between 5 millimoles per liter (mmol / L) and 120 mmol / L after the administering.

13. A method of improving splenic function in a traumatic brain injury patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury accompanied by hemorrhagic shock, wherein a monocyte chemoattractant protein-1 (MCP1)level in the patient is reduced by at least 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of nonoxygen reduced conventionally stored blood.

14. The method of claim 13, wherein the MCP1 level is reduced to between 50 picograms per milliliter (pg / mL) and 200 pg / mL after the administering.

15. A method of improving cardiac function in a traumatic brain injury patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury' accompanied by hemorrhagic shock, wherein a troponin level in the patient is reduced by at least 5% after the administering compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

16. The method of claim 15, wherein a ferritin level in the patient is reduced by between 5% and 20% after the administering, compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

17. A method of improving pulmonary' function in a traumatic brain injury' (TBI) patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury accompanied by hemorrhagic shock, wherein a myeloperoxidase (MPO) level in the patient is reduced after the administering compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxy gen reduced conventionally stored blood.

18. A method of improving renal function in a traumatic brain injury (TBI) patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury' accompanied by hemorrhagic shock, and wherein a urine creatinine level in the patient is reduced by at least 5% after the administering compared to a TBI patient undergoing hemorrhagic shock having been administered the same amount of non-oxygen reduced conventionally stored blood.

19. The method of claim 18, wherein the urine creatinine level is reduced to between about 200 milligrams per deciliter (mg / dl) and about 350 mg / dL after the administering.

20. A method of increasing a plasma serum cytokine level in a traumatic brain injury (TBI) patient in need thereof, comprising administering oxygen reduced blood having an oxy gen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury accompanied by hemorrhagic shock, wherein the plasma serum cytokine is selected from the group consisting of interleukin 6 (IL-6), CXC motif chemokine ligand 1 (CXCL1), interleukin 10 (IL- 10), and any combination thereof.

21. A method of modulating a stress level marker in the plasma of a traumatic brain injury’ (TBI) patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury accompanied by hemorrhagic shock, wherein the stress level marker is selected from the group consisting of epinephrine, norepinephrine, cortisol, and any combination thereof.

22. The method of any one of claims 1 to 21, wherein the patient exhibits a Glasgow Coma Scale (GCS) score of 12 or less prior to the administering.

23. A method of increasing tissue oxygenation in one or more vital organs of a traumatic brain injury’ (TBI) patient in need thereof, comprising administering oxygen reduced blood having an oxygen saturation (SO2) of 20% or less prior to and during storage to a patient having a traumatic brain injury- accompanied by hemorrhagic shock, wherein the one or more vital organs are selected from the group consisting of the kidney, the liver, the lungs, the spleen, the heart, and any combination thereof.

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