THOR-AABB Working Party Recommendations for a Prehospital Blood Product Transfusion Program

Mark H. Yazer; Philip C. Spinella; Eric A. Bank; Jeremy W. Cannon; Nancy M. Dunbar; John B. Holcomb; Bryon P. Jackson; Donald Jenkins; Michael Levy; Paul E. Pepe; Jason L. Sperry; James R. Stubbs; Christopher J. Winckler

doi:10.1080/10903127.2021.1995089

THOR-AABB Working Party Recommendations for a Prehospital Blood Product Transfusion Program

Mark H. Yazer, Philip C. Spinella, Eric A. Bank, Jeremy W. Cannon, Nancy M. Dunbar, John B. Holcomb, Bryon P. Jackson, Donald Jenkins, Michael Levy, Paul E. Pepe, Jason L. Sperry, James R. Stubbs, Christopher J. Winckler

Department of Emergency Medicine

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

7 Scopus citations

Abstract

The evidence for the lifesaving benefits of prehospital transfusions is increasing. As such, emergency medical services (EMS) might increasingly become interested in providing this important intervention. While a few EMS and air medical agencies have been providing exclusively red blood cell (RBC) transfusions to their patients for many years, transfusing plasma in addition to the RBCs, or simply using low titer group O whole blood (LTOWB) in place of two separate components, will be a novel experience for many services. The recommendations presented in this document were created by the Trauma, Hemostasis and Oxygenation Research (THOR)-AABB (formerly known as the American Association of Blood Banks) Working Party, and they are intended to provide a framework for implementing prehospital blood transfusion programs in line with the best available evidence. These recommendations cover all aspects of such a program including storing, transporting, and transfusing blood products in the prehospital phase of hemorrhagic resuscitation.

Original language	English (US)
Journal	Prehospital Emergency Care
DOIs	https://doi.org/10.1080/10903127.2021.1995089
State	Accepted/In press - 2021

Keywords

emergency
plasma
prehospital transfusion
recommendations
red blood cells
whole blood

ASJC Scopus subject areas

Emergency Medicine
Emergency

Access to Document

10.1080/10903127.2021.1995089

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Yazer, M. H., Spinella, P. C., Bank, E. A., Cannon, J. W., Dunbar, N. M., Holcomb, J. B., Jackson, B. P., Jenkins, D., Levy, M., Pepe, P. E., Sperry, J. L., Stubbs, J. R., & Winckler, C. J. (Accepted/In press). THOR-AABB Working Party Recommendations for a Prehospital Blood Product Transfusion Program. Prehospital Emergency Care. https://doi.org/10.1080/10903127.2021.1995089

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abstract = "The evidence for the lifesaving benefits of prehospital transfusions is increasing. As such, emergency medical services (EMS) might increasingly become interested in providing this important intervention. While a few EMS and air medical agencies have been providing exclusively red blood cell (RBC) transfusions to their patients for many years, transfusing plasma in addition to the RBCs, or simply using low titer group O whole blood (LTOWB) in place of two separate components, will be a novel experience for many services. The recommendations presented in this document were created by the Trauma, Hemostasis and Oxygenation Research (THOR)-AABB (formerly known as the American Association of Blood Banks) Working Party, and they are intended to provide a framework for implementing prehospital blood transfusion programs in line with the best available evidence. These recommendations cover all aspects of such a program including storing, transporting, and transfusing blood products in the prehospital phase of hemorrhagic resuscitation.",

keywords = "emergency, plasma, prehospital transfusion, recommendations, red blood cells, whole blood",

author = "Yazer, {Mark H.} and Spinella, {Philip C.} and Bank, {Eric A.} and Cannon, {Jeremy W.} and Dunbar, {Nancy M.} and Holcomb, {John B.} and Jackson, {Bryon P.} and Donald Jenkins and Michael Levy and Pepe, {Paul E.} and Sperry, {Jason L.} and Stubbs, {James R.} and Winckler, {Christopher J.}",

note = "Publisher Copyright: {\textcopyright} 2021 National Association of EMS Physicians.",

year = "2021",

doi = "10.1080/10903127.2021.1995089",

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AU - Dunbar, Nancy M.

AU - Holcomb, John B.

AU - Jackson, Bryon P.

AU - Jenkins, Donald

AU - Levy, Michael

AU - Pepe, Paul E.

AU - Sperry, Jason L.

AU - Stubbs, James R.

AU - Winckler, Christopher J.

PY - 2021

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AB - The evidence for the lifesaving benefits of prehospital transfusions is increasing. As such, emergency medical services (EMS) might increasingly become interested in providing this important intervention. While a few EMS and air medical agencies have been providing exclusively red blood cell (RBC) transfusions to their patients for many years, transfusing plasma in addition to the RBCs, or simply using low titer group O whole blood (LTOWB) in place of two separate components, will be a novel experience for many services. The recommendations presented in this document were created by the Trauma, Hemostasis and Oxygenation Research (THOR)-AABB (formerly known as the American Association of Blood Banks) Working Party, and they are intended to provide a framework for implementing prehospital blood transfusion programs in line with the best available evidence. These recommendations cover all aspects of such a program including storing, transporting, and transfusing blood products in the prehospital phase of hemorrhagic resuscitation.

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THOR-AABB Working Party Recommendations for a Prehospital Blood Product Transfusion Program

Abstract

Keywords

ASJC Scopus subject areas

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