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.