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Gareth Wild, D Anderson, P Lund

    Journal of the Royal Army Medical Corps
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    Summary
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    The RCB42P blood bank reliably stores blood products in extreme field temperatures during extended military operations. Simple mitigation measures ensure its effectiveness in challenging pre-hospital environments.

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    Area of Science:

    • Military Medicine
    • Pre-hospital Care
    • Blood Product Storage

    Background:

    • Contemporary challenges in pre-hospital blood product deployment during prolonged field operations.
    • Novel utilization of standard-issue British Armed Forces equipment for blood storage.

    Purpose of the Study:

    • To assess the reliability of the RCB42P blood bank.
    • To evaluate the feasibility of field blood storage during extended vehicle-borne patrols.

    Main Methods:

    • Analysis of TempIT tag data from five patrols with extreme ambient temperatures (-5°C to 50°C).
    • Implementation and assessment of mitigation strategies against heat exposure.

    Main Results:

    • The RCB42P blood bank is susceptible to radiated heat and high ambient temperatures.
    • Simple mitigation measures, including insulation and passive cooling, effectively minimize temperature fluctuations.

    Conclusions:

    • The RCB42P blood bank is a robust unit suitable for extreme temperatures and physical demands.
    • Effective field storage of blood products is achievable on protracted patrols with implemented mitigation strategies.