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 Xenakis, William Bullock, Michael Stringfellow, Julian Mapp

Research output: Contribution to journalArticle

1 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 languageEnglish (US)
JournalPrehospital Emergency Care
DOIs
StateAccepted/In press - Jan 1 2019

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Keywords

  • low-titer O + whole blood transfusion
  • maternal hemorrhage
  • post-partum hemorrhage
  • whole blood transfusion

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

Cite this

Newberry, R., Winckler, C. J., Luellwitz, R., Greebon, L., Xenakis, E., Bullock, W., Stringfellow, M., & Mapp, J. (Accepted/In press). Prehospital Transfusion of Low-Titer O + Whole Blood for Severe Maternal Hemorrhage: A Case Report. Prehospital Emergency Care. https://doi.org/10.1080/10903127.2019.1671562