• Can J Surg · Jun 2015

    Review

    Fresh whole blood transfusion capability for Special Operations Forces.

    • Andrew Beckett, Jeannie Callum, Luis Teodoro da Luz, Joanne Schmid, Christopher Funk, Elon Glassberg, and Homer Tien.
    • The 1 Canadian Field Hospital, Petawawa, Ont. and the Trauma Program, McGill University Health Centre, Montréal, Que.
    • Can J Surg. 2015 Jun 1; 58 (3 Suppl 3): S153-6.

    AbstractFresh whole blood (FWB) transfusion is an option for providing volume and oxygen carrying capacity to bleeding Special Operations soldiers who are injured in an austere environment and who are far from a regular blood bank. Retrospective data from recent conflicts in Iraq and Afghanistan show an association between the use of FWB and survival. We reviewed the literature to document the issues surrounding FWB transfusion to Special Operations soldiers in the austere environment and surveyed the literature regarding best practice guidelines for and patient outcomes after FWB transfusions. Most literature regarding FWB transfusion is retrospective or historical. There is limited prospective evidence currently to change transfusion practice in tertiary care facilities, but FWB remains an option in the austere setting.

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