A descriptive analysis of the Canadian prehospital and transport transfusion (CAN-PATT) network

Greene, Adam; Trojanowski, J.; Shih, Andrew W.; Evans, Robert; Chang, Eddie L.; Nahirniak, Susan; Pearson, Dallas; Prokopchuk‐Gauk, Oksana; Martin, Doug; Musuka, Charles; Seidl, Cindy; Peddle, Michael; Lin, Yulia; Smith, Justin A.; MacDonald, Scott; Richards, Lindsay; Farrell, Michael; Nolan, Brodie

doi:10.1016/j.resplu.2022.100357

Cited by 5 publications

(6 citation statements)

References 17 publications

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“…A summary of the survey results is given in Table 2. A descriptive report previously published found the annual transfusion rates of these programmes as ranging from <1% to 7% [17].…”

Section: Resultsmentioning

confidence: 99%

“…Inventory renewal, validation for maximum storage time for their coolers and methods to develop transfusing staff competency vary among Canadian OHBTPs. After collecting descriptive data on transfusion practice [17], we sought to compare Canadian practices, as there is limited information on the technical and operational aspects of practice in international OHBTPs when reviewing the current literature, which presents a challenge when applying it to Canadian practice and when seeking to implement best practice. Given that OHBTP practices are still emerging, even at the time of publishing this article, there will be updates in practice, including the inclusion of PCCs and FC in the STARS Saskatchewan and SAA programmes, expansion of the blood programmes to additional bases in the BCEHS and ORNGE programmes and the incorporation of Apple AirTags for cooler tracking in the BCEHS programme.…”

Section: Discussionmentioning

confidence: 99%

“…Other aspects that we believe could be further harmonized and addressed in Canadian OHBTP practice include storage during extreme temperature environments, transfusion documentation practices onboard aircraft, stewardship, recipient notification, processes to maintain traceability, clinical practice guidelines co‐reviewed by TM services and a common audit framework. Work has already begun in Canada in this regard through the CAN‐PATT Blood Programme Network [17]. As an example, a modified RAND Delphi was used to develop consensus statements and audit frameworks to guide Canadian OHBTPs [31].…”

Section: Discussionmentioning

confidence: 99%

“…Typically, hospital policies are applied and extrapolated for OHBT practice. To harmonize and coordinate best practices in Canada, stakeholders from the various OHBTPs and the transfusion medicine (TM) services are collaborating through the Canadian Prehospital and Transport Transfusion (CAN‐PATT) Blood Programme Network [17]. We sought to conduct an environmental scan of technical TM‐specific practices across Canadian OHBTPs.…”

Section: Introductionmentioning

confidence: 99%

“…Though the literature is not conclusive in demonstrating consistent evidence for beneficial effects of OHBT [11][12][13][14][15], such programmes have been expanding in terms of implementation and breadth throughout Canada, as has been the case worldwide [16]. In Network [17]. We sought to conduct an environmental scan of technical TM-specific practices across Canadian OHBTPs.…”

Section: Introductionmentioning

confidence: 99%

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Current state of technical transfusion medicine practice for out‐of‐hospital blood transfusion in Canada

Blais‐Normandin,

Rymer,

Feenstra

et al. 2023

Vox Sanguinis

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Background and ObjectivesCanadian out‐of‐hospital blood transfusion programmes (OHBTPs) are emerging, to improve outcomes of trauma patients by providing pre‐hospital transfusion from the scene of injury, given prolonged transport times. Literature is lacking to guide its implementation. Thus, we sought to gather technical transfusion medicine (TM)‐specific practices across Canadian OHBTPs.Materials and MethodsA survey was sent to TM representatives of Canadian OHBTPs from November 2021 to March 2022. Data regarding transport, packaging, blood components and inventory management were included and reported descriptively. Only practices involving Blood on Board programme components for emergency use were included.ResultsOHBTPs focus on helicopter emergency medical service programmes, with some supplying fixed‐wing aircraft and ground ambulances. All provide 1–3 coolers with 2 units of O RhD/Kell‐negative red blood cells (RBCs) per cooler, with British Columbia trialling coolers with 2 units of pre‐thawed group A plasma. Inventory exchanges are scheduled and blood components are returned to TM inventory using visual inspection and internal temperature data logger readings. Coolers are validated to storage durations ranging from 72 to 124 h. All programmes audit to manage wastage, though there is no consensus on appropriate benchmarks. All programmes have a process for documenting units issued, reconciliation after transfusion and for transfusion reaction reporting; however, training programmes vary. Common considerations included storage during extreme temperature environments, O‐negative RBC stewardship, recipient notification, traceability, clinical practice guidelines co‐reviewed by TM and a common audit framework.ConclusionOHBTPs have many similarities throughout Canada, where harmonization may assist in further developing standards, leveraging best practice and national coordination.

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“…A summary of the survey results is given in Table 2. A descriptive report previously published found the annual transfusion rates of these programmes as ranging from <1% to 7% [17].…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%