When you can’t take cold stored whole blood with you and not all of your soldiers are titered, a walking blood bank can mean the difference between life and death for a patient in hemorrhagic shock. With the mounting evidence suggesting early blood is essential and not just a good idea, you need to have a plan in order to hit the 30 minute target. I have seen students struggle for hours trying to get access in both the patient and the donor. An emphasis on early recognition and early access will save lives. This episode expands upon our latest JTS Clinical Practice Guideline on Remote Damage Control Resuscitation with Dennis interviewing the primary author Andy Fisher.