From battlefront to homefront: creation of a civilian walking blood bank
- PMID: 32478857
- DOI: 10.1111/trf.15694
From battlefront to homefront: creation of a civilian walking blood bank
Abstract
Hemorrhagic shock remains the leading cause of preventable death on the battlefield, despite major advances in trauma care. Early initiation of balanced resuscitation has been shown to decrease mortality in the hemorrhaging patient. To address transfusion limitations in austere environments or in the event of multiple casualties, walking blood banks have been used in the combat setting with great success. Leveraging the success of the region-wide whole blood program in San Antonio, Texas, we report a novel plan that represents a model response to mass casualty incidents.
© 2020 AABB.
References
REFERENCES
-
- Cantle PM, Cotton BA. Prediction of massive transfusion in trauma. Crit Care Clin 2017;33:71-84. https://doi.org/10.1016/j.ccc.2016.08.002.
-
- Spinella PC, Cap AP. Prehospital hemostatic resuscitation to achieve zero preventable deaths after traumatic injury. Curr Opin Hematol 2017;24:529-35.
-
- Holcomb JB. Optimal use of blood products in severely injured trauma patients. Hematology Am Soc Hematol Educ Program 2010;2010:465-9. https://doi.org/10.1182/asheducation-2010.1.465.
-
- Shackelford SA, Del Junco DJ, Powell-Dunford N, et al. Association of prehospital blood product transfusion during medical evacuation of combat casualties in Afghanistan with acute and 30-day survival. JAMA 2017;318:1581-91. https://doi.org/10.1001/jama.2017.15097.
-
- Kotwal RS, Scott LLF, Janak JC, et al. The effect of prehospital transport time, injury severity, and blood transfusion on survival of US military casualties in Iraq. J Trauma Acute Care Surg 2018;85(1S Suppl 2):S112-21. https://doi.org/10.1097/TA.0000000000001798.
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