Professor/Paramedic UT Health Science Center at San Antonio San Antonio, Texas
Disclosure(s):
C. J. Winckler, MD, LP: No financial relationships to disclose
David A. Wampler, PhD, LP, FAEMS: No financial relationships to disclose
Prehospital blood transfusions may be viewed by many medical professionals as a progressive treatment for patients in hemorrhagic shock secondary to serious traumatic injury. Providers could also benefit from considering prehospital blood transfusions for patients in hemorrhagic shock due to a variety of medical conditions. This presentation will analyze the possible complications associated with prehospital blood transfusions for pediatric, geriatric, and OBGYN patients. In the past EMS providers had limited options to achieve hemodynamic stabilization for patients in hemorrhagic shock. The introduction of prehospital Low Titer O+ Whole Blood (LTOWB+) within the San Antonio Fire Department has allowed this treatment to become a reality, however the introduction of this intervention has necessitated specialized consideration for pediatric, geriatric, and OBGYN patients.. Additional topics surrounding LTOWB+ transfusions including consent and adverse reaction treatment will be examined. A discussion over the San Antonio Fire Department LTOWB+ medical transfusion criteria and selected case studies will be analyzed with time allocated for questions from the attendees.
Learning Objectives:
Upon completion participants will be able to identify signs of hemorrhagic shock in a variety of patient populations while determining the needs of each population
Upon completion, participants will be able to analyze the potential complications of prehospital low titer O+ whole blood (LTOWB+) transfusions for special population patients
Upon completion, participants will be able to understand the calculated value of prehospital low titer O+ whole blood transfusions for patients from all populations.