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From battlefront to homefront: creation of a civilian walking blood bank
Author(s) -
Braverman Maxwell A.,
Smith Alison,
Shahan Charles Patrick,
Axtman Benjamin,
Epley Eric,
Hitchman Scott,
Waltman Elizabeth,
Winckler Christopher,
Nicholson Susannah E.,
Eastridge Brian J.,
Stewart Ronald M.,
Jenkins Donald H.
Publication year - 2020
Publication title -
transfusion
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.045
H-Index - 132
eISSN - 1537-2995
pISSN - 0041-1132
DOI - 10.1111/trf.15694
Subject(s) - battlefield , medical emergency , medicine , hemorrhagic shock , shock (circulatory) , resuscitation , blood bank , mass casualty incident , trauma care , intensive care medicine , emergency medicine , history , injury prevention , poison control , ancient history
Hemorrhagic shock remains the leading cause of preventable death on the battlefield, despite major advances in trauma care. Early initiation of balanced resuscitation has been shown to decrease mortality in the hemorrhaging patient. To address transfusion limitations in austere environments or in the event of multiple casualties, walking blood banks have been used in the combat setting with great success. Leveraging the success of the region‐wide whole blood program in San Antonio, Texas, we report a novel plan that represents a model response to mass casualty incidents.