• Andrew D Fisher, Brandon M Carius, Jason B Corley, P Max Dodge, Ethan A Miles, and Audra L Taylor.
• From the Medical Command (A.D.F.), Texas Army National Guard, Austin, Texas; A&M College of Medicine (A.D.F.), Temple, Texas; Prehospital Research in Military and Expeditionary Environments (PRIME2) (A.D.F.), San Antonio, Texas; San Antonio Military Medical Center (B.M.C.), Army Blood Program (J.B.C.), JBSA Fort Sam Houston, Texas; C co 3/238th Aviation Regiment (P.M.D.), New Hampshire Army National Guard, Concord, New Hampshire; Maneuver Center of Excellence (E.A.M.), Fort Benning, Georgia; and Armed Services Blood Program (A.L.T.), Falls Church, Virginia.
• J Trauma Acute Care Surg. 2019 Jul 1; 87 (1S Suppl 1): S184-S190.

AbstractFresh whole blood is the optimal resuscitation fluid for casualties in hemorrhagic shock according to the Committee on Tactical Combat Casualty Care and has demonstrated to improve outcomes in severely wounded patients. Like all medical interventions, fresh whole blood transfusions are not without risks, but similarly can be mitigated through increased training to develop provider knowledge and proficiency. To date, no literature has been published regarding the proper technique to conduct fresh whole blood transfusion training. This article provides a structured foundation to establish a standardized fresh whole blood transfusion training program to increase skill and preparedness for fresh whole blood protocol implementation. Using these techniques in a training environment, providers will be able to provide optimal resuscitation in hemorrhagic shock in austere environments.

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