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Related Concept Videos

Blood Transfusion01:15

Blood Transfusion

881
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
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Blood Transfusion and Agglutination02:45

Blood Transfusion and Agglutination

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Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
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Ranger O Low Titer (ROLO): Whole Blood Transfusion for Forward Deployed Units.

Kaoru H Song1, Hans M Winebrenner2, Ty E Able3

  • 1Department of Family Medicine, Tripler Army Medical Center, Honolulu, HI 96859, USA.

Military Medicine
|November 10, 2021
PubMed
Summary
This summary is machine-generated.

The Ranger O Low Titer (ROLO) walking blood bank, using fresh whole blood (WB), was crucial for saving a soldier with severe blast injuries. This innovative approach offers a vital alternative to traditional resuscitation methods in austere environments.

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Area of Science:

  • Military Medicine
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Complex blast injuries present significant resuscitation challenges in combat settings.
  • Conventional resuscitation methods, including cold-stored whole blood (WB), may be insufficient for severe trauma.
  • Forward-deployed units often face logistical constraints for blood product storage.

Purpose of the Study:

  • To report the first-time use of the Ranger O Low Titer (ROLO) walking blood bank in a combat casualty.
  • To highlight the effectiveness of fresh WB transfusion in managing noncompressible hemorrhage.
  • To present ROLO as a viable blood resupply strategy for resource-scarce environments.

Main Methods:

  • Implementation of a forward-walking blood bank utilizing predetermined donors (ROLO battle drill).
  • Resuscitation of a critically injured soldier with fresh whole blood (WB) after initial treatment with cold-stored WB proved insufficient.
  • Case report detailing the clinical course and outcomes.

Main Results:

  • The patient, a 33-year-old soldier with extensive blast injuries, was stabilized and evacuated following transfusion with fresh WB via the ROLO method.
  • ROLO facilitated immediate blood availability, bypassing storage requirements.
  • Successful stabilization demonstrated the efficacy of ROLO in a critical care scenario.

Conclusions:

  • The ROLO walking blood bank is an essential tool for improving survival rates in combat casualties with severe hemorrhage.
  • ROLO offers a practical solution for blood resupply in forward-deployed units, overcoming storage limitations.
  • Integrating ROLO with damage control resuscitation strategies can significantly reduce risks associated with noncompressible hemorrhage.