在实施低位数O组全血计划之前,部署紧急捐献小组的使用频率
Catherine Y Lin1, J D Hamm1, A D Fisher2
1Uniformed Services University, Bethesda, Maryland, USA.
BMJ military health
|May 16, 2024
概括
美国军方为8%需要输血的伤亡者激活了紧急捐赠小组 (EDP). 本研究详细介绍了EDP激活频率及其对军事和平民大规模伤亡准备的影响.
科学领域:
- 军事医学 军事医学
- 创伤护理 创伤护理
- 输血服务 输血服务
背景情况:
- 历史上,美国军方一直利用紧急捐赠小组 (EDP),也称为"行走血液银行",为紧急伤亡者输血提供温暖的新鲜全血 (WFWB).
- 了解EDP激活频率对于优化血液产品物流和部署环境中的伤亡护理至关重要.
研究的目的:
- 描述2007年至2015年间美国军方紧急捐赠小组 (EDP) 激活的频率.
- 通过EDP分析需要WFWB输血的伤员的特征.
主要方法:
- 来自国防部创伤登记处 (2007-2015) 数据的分析.
- 纳入标准:美国,联盟和美国承包商的伤亡者在24小时内至少接受一单位血液制品.
- 描述WFWB的使用和EDP激活频率.
主要成果:
- 在3474名符合条件的伤亡中,有290人 (8%) 需要EDP激活.
- 与非EDP接受者相比,EDP接受者受伤严重度得分更高,严重腹部和四肢受伤比例更高.
- WFWB输血占所有输血单位的3%,每位EDP接受者平均为5个单位.
结论:
- 几乎每11例需要输血的伤亡中,就有1例需要EDP激活.
- 调查结果为未来的军事任务规划,医疗培训提供了信息,并可以帮助平民做好大规模伤亡准备.
- 该研究强调了EDP在严格环境中提供关键血液产品方面的重要作用.
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