Critical Levels

Prehospital Blood - Dr. Antevy


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On this month's episode, we are going to talk about prehospital blood administration with Dr. Peter Antevy

Some topics covered are:

Historical trauma management

Blood

  • why
  • blood components
  • administration ratios
  • blood type

Blood administration

  • who do we give blood to
    • medical vs trauma (blunt vs penetrating)
    • elderly vs peds
    • vital sign parameters
  • when do we administer it
  • how do we give it
    • IO vs IV (size matters…)
    • temperature

Logistics

  • how do we get it patient side
  • cold chain storage
  • temperature management
  • training (initial and ongoing)
  • minimizing waste

Challenges

  • consent
  • religion
  • administering to females of child bearing age
  • transfusion reaction

Blood Adjuncts

  • TXA
  • calcium
  • other

What's the data showing? Next steps

...more
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