How do I implement a whole blood-based blood preparedness program in a small rural hospital?
blood center operations
blood component preparations
blood management
Journal
Transfusion
ISSN: 1537-2995
Titre abrégé: Transfusion
Pays: United States
ID NLM: 0417360
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
08
05
2020
revised:
27
06
2020
accepted:
27
06
2020
pubmed:
13
9
2020
medline:
29
6
2021
entrez:
12
9
2020
Statut:
ppublish
Résumé
Civilian and military guidelines recommend balanced transfusion to patients with life-threatening bleeding. Early start of transfusion has shown improved survival. Thus, a balanced blood inventory must be available in all levels of health care to ensure early stabilization and damage control resuscitation of patients with bleeding. Whole blood has been reintroduced as a blood product for massive bleeding situations because it affords plasma, red blood cells, and platelets in a balanced ratio in a logistically advantageous way. In this article, we describe how to establish a whole blood-based blood preparedness program in a small rural hospital with limited resources. We present an implementation tool kit, which includes discussions on whole blood program strategies and the process of developing detailed procedures on donor selection, collection, storage, and transfusion management of whole blood. The importance of training and audit of the routines is highlighted, and establishment of an emergency walking blood bank is discussed. We conclude that implementation of a whole blood program is achievable in small rural hospitals and recommend that rural health care facilities at all treatment levels enable early balanced transfusion for patients with life-threatening bleeding by establishing protocols for whole blood-based preparedness.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2793-2800Subventions
Organisme : Funding was provided by the Department of Immunology and Transfusion Medicine at Haukeland University Hospital, Bergen, Norway, and Norwegian Armed Forces Medical Services, Oslo, Norway
Informations de copyright
© 2020 The Authors. Transfusion published by Wiley Periodicals LLC. on behalf of AABB.
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