Prehospital blood and blood products administration

Czech version

Authors: J. Berková
Authors‘ workplace: Oddělení urgentní medicíny, Fakultní nemocnice Hradec Králové
Published in: Rozhl. Chir., 2019, roč. 98, č. 12, s. 481-487.
Category: Review
doi: https://doi.org/10.33699/PIS.2019.98.12.481–487

Overview

The history of blood administration in injured patients in the prehospital care started early after the discovery of blood groups in the first decade of the 20^th century. The first practical experiences were gained by army during World War I. During the 20^th century blood products were not administered in the civilian prehospital care due to the risk of infectious disease transmission, transfusion reactions and donor deficiency. A rebirth of this method was seen at the beginning of the 21^st century when the concept of remote damage control resuscitation was defined and blood became a part of hemostatic resuscitation. Different countries may use different blood products (whole blood, erythrocytes, plasma, fibrinogen, etc.) in prehospital treatment of a severely bleeding patient. Prehospital blood administration is feasible and safe. However, what is the most beneficial blood product for a patient with severe hemorrhagic-traumatic shock during the prehospital phase? This question is now explored in ongoing studies. This paper provides an overview of current policies for pre-hospital blood products administration.

Keywords:

prehospital blood transfusion – hemorrhagic-traumatic shock – damage control resuscitation

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Article was published in

Perspectives in Surgery

2019 Issue 12