The use of fresh whole blood transfusions by the SOF medic for hemostatic resuscitation in the austere environment.

F. Bowling, Andre M Pennardt

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The leading cause of death on the battlefield is uncontrolled hemorrhage. Non-compressible (truncal) hemorrhage is the cause over two thirds of these deaths. This makes truncal hemorrhage the leading cause of potentially survivable death on the battlefield. Over one third of the casualties who arrive at the emergency department (ED) or combat surgical hospital (CSH) in need of a blood transfusion are already suffering from acute traumatic coagulopathy which is associated with an 80% mortality. Early aggressive treatment and prevention of this coagulopathy through hemostatic resuscitation has been shown to increase survival. Hemostatic resuscitation involves the very early use of blood and blood products as primary resuscitation fluids to both treat intrinsic acute traumatic coagulopathy and prevent the development of dilutional coagulopathy. Few, if any, of the products used in hemostatic resuscitation are currently available to the Special Operations Forces (SOF) medic. Warm fresh whole blood transfusions could be a powerful tool for the SOF medic to use in order to begin hemostatic resuscitation in the field.

Original languageEnglish (US)
Pages (from-to)25-35
Number of pages11
JournalJournal of special operations medicine : a peer reviewed journal for SOF medical professionals
Volume10
Issue number3
StatePublished - Jan 1 2010
Externally publishedYes

Fingerprint

Hemostatics
Resuscitation
Blood Transfusion
Hemorrhage
Hospital Emergency Service
Cause of Death
Mortality

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{0d53d2fb55794593bc0eda23fee1f318,
title = "The use of fresh whole blood transfusions by the SOF medic for hemostatic resuscitation in the austere environment.",
abstract = "The leading cause of death on the battlefield is uncontrolled hemorrhage. Non-compressible (truncal) hemorrhage is the cause over two thirds of these deaths. This makes truncal hemorrhage the leading cause of potentially survivable death on the battlefield. Over one third of the casualties who arrive at the emergency department (ED) or combat surgical hospital (CSH) in need of a blood transfusion are already suffering from acute traumatic coagulopathy which is associated with an 80{\%} mortality. Early aggressive treatment and prevention of this coagulopathy through hemostatic resuscitation has been shown to increase survival. Hemostatic resuscitation involves the very early use of blood and blood products as primary resuscitation fluids to both treat intrinsic acute traumatic coagulopathy and prevent the development of dilutional coagulopathy. Few, if any, of the products used in hemostatic resuscitation are currently available to the Special Operations Forces (SOF) medic. Warm fresh whole blood transfusions could be a powerful tool for the SOF medic to use in order to begin hemostatic resuscitation in the field.",
author = "F. Bowling and Pennardt, {Andre M}",
year = "2010",
month = "1",
day = "1",
language = "English (US)",
volume = "10",
pages = "25--35",
journal = "Journal of special operations medicine : a peer reviewed journal for SOF medical professionals",
issn = "1553-9768",
publisher = "U.S. Special Operations Command",
number = "3",

}

TY - JOUR

T1 - The use of fresh whole blood transfusions by the SOF medic for hemostatic resuscitation in the austere environment.

AU - Bowling, F.

AU - Pennardt, Andre M

PY - 2010/1/1

Y1 - 2010/1/1

N2 - The leading cause of death on the battlefield is uncontrolled hemorrhage. Non-compressible (truncal) hemorrhage is the cause over two thirds of these deaths. This makes truncal hemorrhage the leading cause of potentially survivable death on the battlefield. Over one third of the casualties who arrive at the emergency department (ED) or combat surgical hospital (CSH) in need of a blood transfusion are already suffering from acute traumatic coagulopathy which is associated with an 80% mortality. Early aggressive treatment and prevention of this coagulopathy through hemostatic resuscitation has been shown to increase survival. Hemostatic resuscitation involves the very early use of blood and blood products as primary resuscitation fluids to both treat intrinsic acute traumatic coagulopathy and prevent the development of dilutional coagulopathy. Few, if any, of the products used in hemostatic resuscitation are currently available to the Special Operations Forces (SOF) medic. Warm fresh whole blood transfusions could be a powerful tool for the SOF medic to use in order to begin hemostatic resuscitation in the field.

AB - The leading cause of death on the battlefield is uncontrolled hemorrhage. Non-compressible (truncal) hemorrhage is the cause over two thirds of these deaths. This makes truncal hemorrhage the leading cause of potentially survivable death on the battlefield. Over one third of the casualties who arrive at the emergency department (ED) or combat surgical hospital (CSH) in need of a blood transfusion are already suffering from acute traumatic coagulopathy which is associated with an 80% mortality. Early aggressive treatment and prevention of this coagulopathy through hemostatic resuscitation has been shown to increase survival. Hemostatic resuscitation involves the very early use of blood and blood products as primary resuscitation fluids to both treat intrinsic acute traumatic coagulopathy and prevent the development of dilutional coagulopathy. Few, if any, of the products used in hemostatic resuscitation are currently available to the Special Operations Forces (SOF) medic. Warm fresh whole blood transfusions could be a powerful tool for the SOF medic to use in order to begin hemostatic resuscitation in the field.

UR - http://www.scopus.com/inward/record.url?scp=79952116082&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952116082&partnerID=8YFLogxK

M3 - Article

C2 - 21049432

AN - SCOPUS:79952116082

VL - 10

SP - 25

EP - 35

JO - Journal of special operations medicine : a peer reviewed journal for SOF medical professionals

JF - Journal of special operations medicine : a peer reviewed journal for SOF medical professionals

SN - 1553-9768

IS - 3

ER -