How do I get an emergency civilian walking blood bank running?
Transfusion
; 59(S2): 1446-1452, 2019 04.
Article
en En
| MEDLINE
| ID: mdl-30980744
ABSTRACT
The shift toward using a transfusion strategy in a ratio to mimic whole blood (WB) functionality has revitalized WB as a viable option to replace severe blood loss in civilian health care. A military-civilian collaboration has contributed to the reintroduction of WB at Haukeland University Hospital in Bergen, Norway. WB has logistical and hemostatic advantages in both the pre- and in-hospital settings where the goal is a perfectly timed balanced transfusion strategy. In this paper, we describe an event leading to activation of our emergency WB collection strategy for the first time. We evaluate the feasibility of our civilian walking blood bank (WBB) to cover the need of a massive amount of blood in an emergency situation. The challenges are discussed in relation to the different stages of the event with the recommendations for improvement in practice. We conclude that the use of pre-screened donors as a WBB in a civilian setting is feasible. The WBB can provide platelet containing blood components for balanced blood resuscitation in a clinically relevant time frame.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Bancos de Sangre
/
Donantes de Sangre
/
Selección de Donante
/
Seguridad de la Sangre
/
Hospitales Militares
/
Medicina Militar
Tipo de estudio:
Guideline
Límite:
Female
/
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
Transfusion
Año:
2019
Tipo del documento:
Article
País de afiliación:
Noruega