Riha Gordon M, Johnson Alyssa, Arnold Sadie, Englehart Michael S, Thompson Simon J
Trauma & General Surgery, Billings Clinic, Billings, MT, USA.
EMS & Trauma Systems Montana, Chronic Disease Prevention and Health Promotion Bureau, Montana Department of Public Health and Human Services, Helena, MT, USA.
J Blood Med. 2024 Mar 20;15:141-146. doi: 10.2147/JBM.S442134. eCollection 2024.
The state of Montana encompasses and defines rural health care as it is known in the United States (US) today. This vast area is punctuated by pockets of health care availability with varying access to blood products for transfusion. Furthermore, timely transport is frequently challenged by weather that may limit air transportation options, resulting in multiple hours in ground transport to definitive care.
The Montana State Trauma Care Committee (MT-STCC) developed the Montana Interfacility Blood Network (MT-IBN) to ensure blood availability in geographically distanced cases where patients may otherwise not survive. The index case that led to the formal development of the MT-IBN is described, followed by a second case illustrating the IBN process.
This process and development manuscript details the innovative efforts of MT-STCC to develop this fledgling idea unique to rural US health care. We review guidelines that have been developed to define broad aspects of the MT-IBN including the reason to share resources, proper packaging, paperwork necessary for transfer, and how to provide resources directly to the patient. Finally, we describe implementation within the state.
The MT-IBN was developed by MT-STCC to facilitate the hand-off of lifesaving blood to patients being transported by ground to definitive care in Montana without having to stop at an intermediary facility. This has already led to lives saved in areas that are limited in blood availability due to rurality.
蒙大拿州涵盖并定义了当今美国农村地区的医疗保健状况。这片广袤的区域点缀着一些医疗保健服务点，输血用血制品的获取情况各不相同。此外，及时转运常常受到天气的挑战，天气可能会限制航空运输选择，导致地面转运至最终治疗地点需要数小时。
蒙大拿州创伤护理委员会（MT - STCC）建立了蒙大拿州机构间血液网络（MT - IBN），以确保在地理距离较远的情况下有血液供应，否则患者可能无法存活。描述了导致MT - IBN正式建立的索引病例，随后是第二个说明IBN流程的病例。
本过程与发展手稿详细介绍了MT - STCC为发展这一美国农村医疗保健特有的新兴理念所做的创新努力。我们回顾了已制定的指南，这些指南定义了MT - IBN的广泛方面，包括共享资源的原因、适当的包装、转移所需的文书工作以及如何直接向患者提供资源。最后，我们描述了该州内的实施情况。
MT - STCC开发了MT - IBN，以促进将救命血液交接给在蒙大拿州通过地面转运至最终治疗地点而无需在中间机构停留的患者。这已经在因地处农村而血液供应有限的地区挽救了生命。
