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;87(1S Suppl 1):S184-S190. doi: 10.1097/TA.0000000000002323.
Fresh 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.
根据战术战伤救治委员会的说法，新鲜全血是失血性休克伤员的最佳复苏液，已证明可改善重伤患者的预后。与所有医疗干预措施一样，新鲜全血输注并非没有风险，但通过增加培训来提高提供者的知识和熟练度，也可以减轻这些风险。迄今为止，尚无关于进行新鲜全血输注培训的正确技术的文献发表。本文提供了一个结构化的基础，以建立标准化的新鲜全血输注培训计划，以提高对新鲜全血方案实施的技能和准备。在培训环境中使用这些技术，提供者将能够在恶劣环境中为失血性休克提供最佳复苏。
