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Published on: March 19, 2016
Conducting fresh whole blood transfusion training
Andrew D Fisher1, Brandon M Carius, Jason B Corley
1From the Medical Command (A.D.F.), Texas Army National Guard, Austin, Texas; A&M College of Medicine (A.D.F.), Temple, Texas; Prehospital Research in Military and Expeditionary Environments (PRIME2) (A.D.F.), San Antonio, Texas; San Antonio Military Medical Center (B.M.C.), Army Blood Program (J.B.C.), JBSA Fort Sam Houston, Texas; C co 3/238th Aviation Regiment (P.M.D.), New Hampshire Army National Guard, Concord, New Hampshire; Maneuver Center of Excellence (E.A.M.), Fort Benning, Georgia; and Armed Services Blood Program (A.L.T.), Falls Church, Virginia.
Fresh whole blood transfusions improve outcomes for trauma patients in hemorrhagic shock. This article outlines standardized training techniques to enhance provider proficiency and preparedness for implementing fresh whole blood protocols in austere environments.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Blood Transfusion
Background:
- Fresh whole blood is recognized as the optimal resuscitation fluid for hemorrhagic shock by the Committee on Tactical Combat Casualty Care.
- Evidence indicates improved outcomes in severely wounded patients receiving fresh whole blood transfusions.
- While risks exist, they can be mitigated through comprehensive provider training and skill development.
Purpose of the Study:
- To address the lack of published literature on fresh whole blood transfusion training techniques.
- To provide a structured foundation for a standardized fresh whole blood transfusion training program.
- To enhance provider skill and preparedness for implementing fresh whole blood protocols.
Main Methods:
- Development of a structured training program focusing on proper fresh whole blood transfusion techniques.
- Emphasis on increasing provider knowledge and proficiency in a simulated training environment.
- Utilizing standardized techniques to prepare providers for real-world application in austere settings.
Main Results:
- The proposed training program aims to standardize fresh whole blood transfusion techniques.
- Increased provider proficiency is expected through structured training modules.
- Enhanced preparedness for implementing fresh whole blood protocols in critical care scenarios.
Conclusions:
- Standardized training is crucial for mitigating risks associated with fresh whole blood transfusions.
- Implementing this training program will improve provider competency in managing hemorrhagic shock.
- This approach facilitates optimal resuscitation strategies in austere and combat environments.
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