A proposed field emergency donor panel questionnaire and triage tool

Doughty, Heidi; Thompson, Patrick; Andrew, P.; Spinella, Philip C.; Glassberg, Elon; Eliassen, Håkon Skogrand; Pasquale, Marc De; Strandenes, Geir

doi:10.1111/trf.13487

Cited by 12 publications

(19 citation statements)

References 15 publications

(11 reference statements)

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“…The use of whole blood has traditionally been used by defense medical services and offers considerable logistic advantages in the austere medical environment . The Bergen team has spearheaded the concepts of RDCR with the use of emergency donor panels (EDPs) and the introduction of cold whole blood for military units .…”

Section: Discussionmentioning

confidence: 99%

Mass casualty events: blood transfusion emergency preparedness across the continuum of care

2016

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Transfusion support is a key enabler to the response to mass casualty events (MCEs). Transfusion demand and capability planning should be an integrated part of the medical planning process for emergency system preparedness. Historical reviews have recently supported demand planning for MCEs and mass gatherings; however, computer modeling offers greater insights for resource management. The challenge remains balancing demand and supply especially the demand for universal components such as group O red blood cells. The current prehospital and hospital capability has benefited from investment in the management of massive hemorrhage. The management of massive hemorrhage should address both hemorrhage control and hemostatic support. Labile blood components cannot be stockpiled and a large surge in demand is a challenge for transfusion providers. The use of blood components may need to be triaged and demand managed. Two contrasting models of transfusion planning for MCEs are described. Both illustrate an integrated approach to preparedness where blood transfusion services work closely with health care providers and the donor community. Preparedness includes appropriate stock management and resupply from other centers. However, the introduction of alternative transfusion products, transfusion triage, and the greater use of an emergency donor panel to provide whole blood may permit greater resilience.

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Section: Discussionmentioning

confidence: 99%

Mass casualty events: blood transfusion emergency preparedness across the continuum of care

2016

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“…12,13,22,24,25 Civilian hospitals and blood collection centers have also published blood emergency preparedness plans, including use of walking blood bank protocols for treatment of bleeding patients in case of a depletion of inventories of whole blood and platelets. 22,24,25,27 In Norway, we have trained health personnel working in the oil industry on operations with long evacuation times to collect and transfuse whole blood from prescreened fellow workers in case of a bleeding patient. Similarly, cruise liners have used fresh whole blood collected from passengers who are already donors, in treatment of fellow passengers with life-threatening bleeding.…”

Section: Agree On the Strategymentioning

confidence: 99%

“…26 The emergency donor selection plan should include considerations of potential relaxations of donor selection requirements that do not compromise donor or patient safety. 27 Emergency donation procedures should include guidance for blood collection if standard donor equipment such as donor beds and scales are not available. Standard computer data entry may be impossible and procedures for paper documents will be needed.…”

Section: Establishing An Emergency Walking Blood Bankmentioning

confidence: 99%

How do I implement a whole blood–based blood preparedness program in a small rural hospital?

et al. 2020

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Civilian and military guidelines recommend balanced transfusion to patients with life-threatening bleeding. Early start of transfusion has shown improved survival. Thus, a balanced blood inventory must be available in all levels of health care to ensure early stabilization and damage control resuscitation of patients with bleeding. Whole blood has been reintroduced as a blood product for massive bleeding situations because it affords plasma, red blood cells, and platelets in a balanced ratio in a logistically advantageous way. In this article, we describe how to establish a whole blood-based blood preparedness program in a small rural hospital with limited resources. We present an implementation tool kit, which includes discussions on whole blood program strategies and the process of developing detailed procedures on donor selection, collection, storage, and transfusion management of whole blood. The importance of training and audit of the routines is highlighted, and establishment of an emergency walking blood bank is discussed. We conclude that implementation of a whole blood program is achievable in small rural hospitals and recommend that rural health care facilities at all treatment levels enable early balanced transfusion for patients with life-threatening bleeding by establishing protocols for whole blood-based preparedness.

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“…However, the arrangement for a fully managed Emergency Donor Panel (EDP) was also reinstituted. An EDP is a managed pre‐tested group of blood donors called when blood is urgently required and is not available .…”

Section: Resilience and Resupply In Isolated Communitiesmentioning

confidence: 99%

Whole blood in disaster and major incident planning

Doughty

Strandenes

2019

ISBT Science Series

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Transfusion emergency preparedness is increasingly becoming an integrated part of major incident planning. The spectrum of planning extends from the sophisticated healthcare system dealing with multiple casualties, to the isolated healthcare facility resuscitating the critically ill patient with massive haemorrhage. Transfusion preparedness should follow risk assessment and be nested within the wider emergency planning system. The response should be designed to deliver both safety and sufficiency of transfusion support and includes diagnostics, donation and distribution. The biggest transfusion risks in emergency situations are those of red cell ABO incompatibility and delayed provision. Sufficiency and supply may be compromised when communities are isolated and cannot access mutual support. Planning may need to consider local collection and testing of blood as a further resilience measure. Considerations include demand planning; inventory management and transfusion triage; a whole blood preparedness model; resilience and resupply and the human factor. We suggest a whole blood programme can simplify the whole vein-to-vein process for production, laboratory and clinical staff and can be integrated into a range of healthcare systems.

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A proposed field emergency donor panel questionnaire and triage tool

Cited by 12 publications

References 15 publications

Mass casualty events: blood transfusion emergency preparedness across the continuum of care

Mass casualty events: blood transfusion emergency preparedness across the continuum of care

How do I implement a whole blood–based blood preparedness program in a small rural hospital?

Whole blood in disaster and major incident planning

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