TY - JOUR
T1 - Prehospital Transfusion of Low-Titer O + Whole Blood for Severe Maternal Hemorrhage
T2 - A Case Report
AU - Newberry, Ryan
AU - Winckler, C. J.
AU - Luellwitz, Ryan
AU - Greebon, Leslie
AU - Xenakis, Elly
AU - Bullock, William
AU - Stringfellow, Michael
AU - Mapp, Julian
N1 - Publisher Copyright:
©, The work of Ryan Newberry and Julian Mapp was authored as part of their official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 USC. 105, no copyright protection is available for such works under US Law. C. J. Winckler, Ryan Luellwitz, Leslie Greebon, Elly Xenakis, William Bullock, and Michael Stringfellow hereby waive their right to assert copyright, but not their right to be named as co-authors in the article.
PY - 2020/7/3
Y1 - 2020/7/3
N2 - 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.
AB - 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.
KW - low-titer O + whole blood transfusion
KW - maternal hemorrhage
KW - post-partum hemorrhage
KW - whole blood transfusion
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U2 - 10.1080/10903127.2019.1671562
DO - 10.1080/10903127.2019.1671562
M3 - Article
C2 - 31550184
AN - SCOPUS:85074353912
VL - 24
SP - 566
EP - 575
JO - Prehospital Emergency Care
JF - Prehospital Emergency Care
SN - 1090-3127
IS - 4
ER -