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Improving Expeditionary Blood Supply via Type-Specific Whole Blood
Ryan Comes1, Cara Olsen2, Chih Huang3
181st Medical Group, Keesler AFB, MS 39534, USA.
Military Medicine
|December 14, 2024
Summary
Type-specific whole blood (TSWB) can increase blood supply by 11.1% monthly, addressing shortages in expeditionary casualty care. TSWB is projected for use in 20.7% to 35.6% of transfused military casualties.
Area of Science:
- Military Medicine
- Transfusion Medicine
- Blood Supply Chain Management
Background:
- Expeditionary casualty care relies heavily on blood transfusions.
- Current reliance on universal low-titer O whole blood exceeds supply.
- Type-specific whole blood (TSWB) offers a potential solution to increase blood availability.
Purpose of the Study:
- To estimate the potential benefit of incorporating TSWB into the expeditionary blood supply.
- To quantify the impact of TSWB on addressing whole blood shortfalls.
Main Methods:
- Demand for TSWB was estimated using data from U.S. military involvement in Afghanistan (2001-2021).
- Production yield increases were assessed based on blood production data from Keesler AFB Blood Distribution Center (FY2016-FY2023).
Main Results:
- Including type A TSWB could increase monthly whole blood production by an estimated 11.1%.
- TSWB is expected to be used in 20.7% to 35.6% of U.S. military casualties requiring transfusion.
- Significant seasonality was observed in blood production.
Conclusions:
- Implementing TSWB is projected to significantly enhance whole blood availability.
- TSWB can help meet current blood supply deficits and future expeditionary casualty needs.
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