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Activities of the THOR-AABB Working Party
Mark H Yazer1, Philip C Spinella
1From the Department of Pathology (M.H.Y), University of Pittsburgh and the Institute for Transfusion Medicine, Pittsburgh, Pennsylvania; and Division of Critical Care Medicine, Department of Pediatrics (P.C.S.), Washington University in St. Louis, St. Louis, Missouri.
The joint Trauma, Hemostasis and Oxygenation Research (THOR) Network and American Association of Blood Banks (AABB) Working Party improves patient outcomes in hemorrhagic shock resuscitation. Their collaboration led to updated blood transfusion standards and best practices in emergency care.
Area of Science:
- Transfusion Medicine
- Trauma Resuscitation
- Hemorrhagic Shock Management
Background:
- The American Association of Blood Banks (AABB) is a key authority in transfusion and tissue banking.
- The Trauma, Hemostasis and Oxygenation Research (THOR) Network focuses on improving outcomes for traumatic hemorrhagic shock.
- Significant overlap exists between the AABB and THOR Network missions, necessitating collaboration.
Purpose of the Study:
- To detail the activities and impact of the joint THOR-AABB Working Party (WP).
- To highlight the formal collaboration established to improve patient outcomes in acute resuscitation.
- To outline future endeavors stemming from the WP's work.
Main Methods:
- Established a joint Working Party (WP) between THOR and AABB in 2016.
- Engaged in various initiatives including standards revision, commentary writing, and symposium hosting.
- Reviewed and detailed the WP's past activities and future plans.
Main Results:
- Successfully revised AABB standards for whole blood administration.
- Published commentaries on the safety of uncrossmatched red blood cells and antibody titer methods.
- Hosted a symposium focused on blood product resuscitation for massively bleeding patients.
Conclusions:
- The collaborative efforts of the THOR-AABB WP have led to tangible improvements in transfusion medicine and trauma care.
- The WP has successfully influenced clinical practice through updated standards and expert guidance.
- Continued collaboration is expected to further optimize the acute resuscitation phase for patients in hemorrhagic shock.
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