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.
Fresh Whole Blood
Podcast Episode 47: Andy Fisher and his Damage Control Resuscitation for Prolonged Field Care CPG
So what is different than what we already have in the THOR recommendations, the JTS DCR clinical Practice Guideline and the Ranger Regiment TDCR? No hextend?! Calcium with the 1st unit of blood?! TXA slow push?! What if the patient is not responding to resuscitation efforts? This is a guideline truly written for the Medic … Continue reading Podcast Episode 47: Andy Fisher and his Damage Control Resuscitation for Prolonged Field Care CPG
THOR Fresh Whole Blood Triage and Screening Tool
The Trauma Hemostasis and Oxygenation Research (THOR) Group has recently published an evidence-informed emergency donor panel questionnaire and triage tool that can be used for screening potential donors in contingency situations.
Tactical Damage Control Resuscitation
This article is a nice review of where we are (U.S. - and Norwegian - SOF) now in implementing a FWB program. It also gives good background and a simple algorithm of when to pull the trigger to initiate FWB transfusions. In PFC, we may not have the luxury of confirmed typing and anti-A, anti-B titering, … Continue reading Tactical Damage Control Resuscitation