Prehospital Transfusion of Low-Titer O + Whole Blood for Severe Maternal Hemorrhage: A Case Report

Ryan Newberry; C. J. Winckler; Ryan Luellwitz; Leslie Greebon; Elly M Xenakis; William Bullock; Michael Stringfellow; Julian Mapp

doi:10.1080/10903127.2019.1671562

Prehospital Transfusion of Low-Titer O + Whole Blood for Severe Maternal Hemorrhage: A Case Report

Ryan Newberry, C. J. Winckler, Ryan Luellwitz, Leslie Greebon, Elly M Xenakis, William Bullock, Michael Stringfellow, Julian Mapp

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

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)
Pages (from-to)	566-575
Number of pages	10
Journal	Prehospital Emergency Care
Volume	24
Issue number	4
DOIs	https://doi.org/10.1080/10903127.2019.1671562
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

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10.1080/10903127.2019.1671562

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title = "Prehospital Transfusion of Low-Titer O + Whole Blood for Severe Maternal Hemorrhage: A Case Report",

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.",

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Prehospital Transfusion of Low-Titer O + Whole Blood for Severe Maternal Hemorrhage: A Case Report

Abstract

Keywords

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