Daniel Yann, Sailliol Anne, Pouget Thomas, Peyrefitte Sébastien, Ausset Sylvain, Martinaud Christophe
French Medical Unit, Naval Special Operations Commandos Command, Lanester, France (Y.D., S.P.); French Military Blood Institute, Clamart, France (A.S., T. P., C.M.); Anaesthesia and Intensive Care Unit, Percy Military Teaching Hospital, Clamart, France (S. A.); and Department of Biology, Laveran Military Teaching Hospital, Marseille, France (C.M.).
J Trauma Acute Care Surg. 2017 Jun;82(6):1138-1146. doi: 10.1097/TA.0000000000001456.
To improve the survival of combat casualties, interest in the earliest resort to whole blood (WB) transfusion on the battlefield has been emphasized. Providing volume, coagulation factors, plasma, and oxygenation capacity, WB appears actually as an ideal product severe trauma management. Whole blood can be collected in advance and stored for subsequent use, or can be drawn directly on the battlefield, once a soldier is wounded, from an uninjured companion and immediately transfused.Such concepts require a great control of risks at each step, especially regarding ABO mismatches, and transfusion-transmitted diseases. We present here the "warm and fresh" WB field transfusion program implemented among the French armed forces. We focus on the followed strategies to make it applicable on the battlefield, even during special operations and remote settings, and safe for recipients as well as for donors.
为提高战斗伤员的生存率，人们强调了在战场上尽早使用全血（WB）输血的重要性。全血可提供血容量、凝血因子、血浆和氧合能力，实际上是严重创伤救治的理想产品。全血可以提前采集并储存以备后续使用，也可以在战场上，一旦士兵受伤，从未受伤的同伴身上直接抽取并立即输血。这些概念要求在每一步都严格控制风险，特别是在ABO血型不匹配和输血传播疾病方面。我们在此介绍法国武装部队实施的“温热新鲜”全血现场输血计划。我们重点关注所采取的策略，以使该计划适用于战场，即使在特种作战和偏远地区也能适用，同时确保对受血者和献血者都安全。
