Anesthesiology and Pain Medicine, US Naval Hospital Okinawa, Okinawa, AP, Japan
Naval Biotechnology Group, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.
BMJ Mil Health. 2024 Nov 25;170(6):461-464. doi: 10.1136/military-2023-002516.
Whole blood transfusion is being increasingly used for trauma resuscitation, particularly in military settings. Low-titre group O whole blood simplifies the logistical challenges and maximises the benefits of blood transfusion when compared with component therapy in austere battlefield conditions. Screening protocols and blood testing requirements for prescreened donors in walking blood banks (WBBs), which are used for emergency transfusions, are established by both the USA and most partner nations, though they are not necessarily uniform across these combined forces. Interoperability and standardisation of blood bank resources and protocols across allied forces in multinational military operations, including uniformity in screening processes, collection methods and storage is essential to the provision of safe and effective blood product transfusions in this austere setting. Predeployment screening, multinational training exercises and universal WBB sets with instructions in multiple languages can help enhance the interoperability of combined multinational operations and create a more efficient WBB system. Standardisation of blood collection, nomenclature, equipment and screening practices will allow for the most optimal utilisation of whole blood resources across a multinational battlefield.
全血输血在创伤复苏中被越来越多地使用，特别是在军事环境中。与在严峻的战场条件下的成分治疗相比，低滴度 O 型全血简化了后勤挑战，并最大限度地提高了输血的益处。用于紧急输血的步行血库 (WBB) 中预先筛选供体的筛选方案和血液检测要求由美国和大多数伙伴国家制定，尽管它们在这些联合部队中不一定统一。在多国军事行动中，盟军之间的血库资源和协议的互操作性和标准化，包括筛选过程、采集方法和储存方法的统一，对于在这种严峻环境中提供安全有效的血液制品输血至关重要。部署前筛选、多国联合训练演习以及带有多种语言说明的通用 WBB 套件可以帮助提高联合多国行动的互操作性，并创建一个更有效的 WBB 系统。血液采集、命名法、设备和筛选实践的标准化将允许在跨国战场最大限度地利用全血资源。
