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Fresh whole blood transfusion capability for Special Operations Forces
Andrew Beckett1, Jeannie Callum2, Luis Teodoro da Luz2
1The 1 Canadian Field Hospital, Petawawa, Ont. and the Trauma Program, McGill University Health Centre, Montréal, Que.
Summary
Fresh whole blood transfusions offer a vital option for critically injured Special Operations soldiers in remote environments. Evidence suggests an association between fresh whole blood use and improved survival rates in austere settings.
Area of Science:
- Military Medicine
- Emergency Medicine
- Transfusion Medicine
Background:
- Fresh whole blood (FWB) transfusion is a critical intervention for bleeding casualties in austere environments.
- Special Operations soldiers operating far from blood banks require accessible transfusion options.
- Retrospective data from recent conflicts indicate a positive association between FWB use and survival.
Purpose of the Study:
- To review literature on FWB transfusion issues for Special Operations soldiers in austere settings.
- To survey existing literature on best practice guidelines and patient outcomes for FWB transfusions.
Main Methods:
- Literature review of retrospective and historical data.
- Survey of studies on FWB transfusion practices and outcomes.
Main Results:
- Most available literature on FWB transfusion is retrospective or historical.
- Limited prospective evidence exists to alter transfusion practices in tertiary care.
Conclusions:
- FWB transfusion remains a viable option for Special Operations soldiers in austere environments.
- Further prospective research may be needed to refine transfusion guidelines.
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