Abstract
Introduction: Beginning in 2017, multiple stakeholders within the Southwest Texas Regional Advisory Council for Trauma collaborated to incorporate cold-stored low-titer O RhD-positive whole blood (LTO + WB) into all phases of their trauma system, including the prehospital phase of care. Although the program was initially focused on trauma resuscitation, it was expanded to included non-traumatic hemorrhagic shock patients that may benefit from whole blood resuscitation. Case Report: We report the case of a patient with severe maternal hemorrhage secondary to placenta accreta who received a prehospital transfusion of LTO + WB. We believe this to be the first reported case of post-partum hemorrhage resuscitated out of hospital with whole blood. Discussion: This case highlights the potential benefits of a prehospital whole blood program as well as the controversy surrounding a LTO + WB program that includes females of childbearing age.
Original language | English (US) |
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Pages (from-to) | 566-575 |
Number of pages | 10 |
Journal | Prehospital Emergency Care |
Volume | 24 |
Issue number | 4 |
DOIs | |
State | Published - Jul 3 2020 |
Keywords
- low-titer O + whole blood transfusion
- maternal hemorrhage
- post-partum hemorrhage
- whole blood transfusion
ASJC Scopus subject areas
- Emergency Medicine
- Emergency