Standardized Walking Blood Bank Policies and Procedures on Amphibious Readiness Groups to Expedite the Transfusion of Fresh Whole Blood
Abstract
Health care providers can prevent trauma-related deaths if blood products are available and administered promptly. ARGs are not equipped to store an adequate amount of Fresh Frozen Plasma (FFP) and are devoid of platelet storage. As a result, standard of treatment (1:1:1 for plasma units to platelets to red blood cells) for trauma resuscitation is not available for patients experiencing massive hemorrhage. Inconsistent and non-standardized practices for establishing, initiating, and maintaining a WBB among the ARGs delay damage control resuscitation by necessitating the use of frozen packed red blood cells(PRBCs) and FFP. Furthermore, frozen blood products undergo degradation FFP plasma proteins are destroyed, PRBCs develop storage lesions, and clotting factors are diluted from anticoagulant and preservative additives. Implementing standardized screening, training, and administration processes for FWB via a WBB will enhance treatment and decrease the mortality of service members and civilians during humanitarian missions. Furthermore, military servicemembers deploy to austere environments, and ARGs possess platforms that serve as casualty receiving ships that are expected to manage many trauma patients and resuscitation efforts in such environments using blood component therapy are impractical and suboptimal.
Document Details
- Document Type
- Technical Report
- Publication Date
- May 01, 2023
- Accession Number
- AD1212216
Entities
People
- Adam R. Robles
- Cynthia P. Matters
- Vincent E. Diventi
Organizations
- Uniformed Services University of the Health Sciences