Pretty much summarizes the severe traumas that define the essence of our trade.
And sometimes, the answer to critical bleeding is to give blood.
We are grateful to our colleagues at Sydney HEMS, who advise: “blood is provided to transfuse patients with life-threatening bleeding after meticulous attention to hemorrhage control.”
Auckland HEMS is poised to begin providing prehospital blood as part of our bundle of critical clinical interventions. We are fortunate to collaborate with the New Zealand Blood Service and with our local District Health Board to provide this service. http://www.nzblood.co.nz
Herein, please find our training video. We welcome your feedback.
Our draft Blood SOP is undergoing usability testing with our clinical teams. Once finalized, we will share this for FOAM.
This is an unsystematic review of the current literature. A few themes are emerging:
Pretrauma Center Red Blood Cell Transfusion Is Associated With Reduced Mortality and Coagulopathy in Severely Injured Patients With Blunt Trauma
Prehospital blood transfusion in the en route management of severe combat trauma: a matched cohort study
Initial UK experience of prehospital blood transfusion in combat casualties
The effects of prehospital plasma on patients with injury: a prehospital plasma resuscitation
The feasibility of civilian prehospital trauma teams carrying and administering packed red blood cells
Prehospital Transfusion of Plasma and Red Blood Cells in Trauma Patients
Emergency whole-blood use in the field: a simplified protocol for collection and transfusion
Blood Far Forward–a whole blood research and training program for austere environments
Australian Patient Blood Management Guidelines
…and for simulation purposes, here is a blunt force trauma scenario:
An unidentified surfer discovers the hazards of being caught inside at a notoriously shallow reefbreak during the biggest swell in two years..