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Results 176 ‘Code Red’ activations were made in the 30 month period. Mechanism of injury was penetrating in 59 (33.5%), RTC related in 76 (43.2%), falls in 22 (12.5%) and ‘other’ in 19 (10.8%). 127 patients were received at our trauma centre and data was available in 92 patients. 29 (31.5%) died. Injury Severity Score (ISS) was 29.2 (mean) and 27 (median) overall. ISS was 22.9 (mean) and 25 (median) in survivors and 30 (mean) and 28 (median) in those that died. Records of blood product use revealed that overall a mean 11.6 units of PRBC and mean 7.2 units of FFP were administered. Patients that survived received a mean 7.8 PRBC and 6.0 FFP while those that died received a mean 18 PRBC and 9.7 FFP. 6 patients received no blood products. Of the 6, 5 were victims of stab wounds and all had a systolic BP>90mmHg on arrival in hospital.

The effectiveness of a simple ‘Code Red’ transfusion request policy initiated by pre-hospital physicians