The regional whole blood program in San Antonio, TX: A 3-year update on prehospital and in-hospital transfusion practices for traumatic and non-traumatic hemorrhage.

Autor: Braverman MA; Department of Surgery, UT Health San Antonio, San Antonio, Texas, USA., Smith AA; Department of Surgery, UT Health San Antonio, San Antonio, Texas, USA., Ciaraglia AV; Department of Surgery, UT Health San Antonio, San Antonio, Texas, USA., Radowsky JS; Department of Trauma and Acute Care Surgery, Brooke Army Medical Center, JBSA Fort Sam Houston, San Antonio, Texas, USA., Schauer SG; Department of Emergency Medicine, Brooke Army Medical Center, JBSA Fort Sam Houston, San Antonio, Texas, USA.; United States Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, Texas, USA., Sams VG; Department of Trauma and Acute Care Surgery, Brooke Army Medical Center, JBSA Fort Sam Houston, San Antonio, Texas, USA., Greebon LJ; Department of Pathology, UT Health San Antonio, San Antonio, Texas, USA., Shiels MD; Trauma Services, University Hospital, San Antonio, Texas, USA., Jonas RB; Department of Surgery, UT Health San Antonio, San Antonio, Texas, USA., Ngamsuntikul S; South Texas Blood & Tissue Center, San Antonio, Texas, USA., Waltman E; South Texas Blood & Tissue Center, San Antonio, Texas, USA., Epley E; Southwest Texas Regional Advisory Council, San Antonio, Texas, USA., Rose T; Southwest Texas Regional Advisory Council, San Antonio, Texas, USA., Bynum JA; United States Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, Texas, USA., Cap AP; United States Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, Texas, USA., Eastridge BJ; Department of Surgery, UT Health San Antonio, San Antonio, Texas, USA., Stewart RM; Department of Surgery, UT Health San Antonio, San Antonio, Texas, USA., Jenkins DH; Department of Surgery, UT Health San Antonio, San Antonio, Texas, USA., Nicholson SE; Department of Surgery, UT Health San Antonio, San Antonio, Texas, USA.
Jazyk: angličtina
Zdroj: Transfusion [Transfusion] 2022 Aug; Vol. 62 Suppl 1, pp. S80-S89. Date of Electronic Publication: 2022 Jun 24.
DOI: 10.1111/trf.16964
Abstrakt: Low titer type O Rh-D + whole blood (LTO + WB) has become a first-line resuscitation medium for hemorrhagic shock in many centers around the World. Showing early effectiveness on the battlefield, LTO + WB is used in both the pre-hospital and in-hospital settings for traumatic and non-traumatic hemorrhage resuscitation. Starting in 2018, the San Antonio Whole Blood Collaborative has worked to provide LTO + WB across Southwest Texas, initially in the form of remote damage control resuscitation followed by in-hospital trauma resuscitation. This program has since expanded to include pediatric trauma resuscitation, obstetric hemorrhage, females of childbearing potential, and non-traumatic hemorrhage. The objective of this manuscript is to provide a three-year update on the successes and expansion of this system and outline resuscitation challenges in special populations.
(© 2022 AABB.)
Databáze: MEDLINE
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