Disaster planning: the role of the transfusion practitioner

Deelen, Rozemarijn; Costermans, Els; Moss, Rachel; Akers, Christine

doi:10.1111/voxs.12454

Cited by 8 publications

(8 citation statements)

References 11 publications

(13 reference statements)

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“…This new concept in managing transfusion support has been incorporated into national guidance. The Transfusion Practitioner is emerging as the key link in this patient safety process 13 …”

Section: Discussionmentioning

confidence: 99%

London 2017: Lessons learned in transfusion emergency planning

Chowdhury

Doughty

Batrick

2021

Transfusion Medicine

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Background and objectives Hospitals prepare for emergencies, but the impact on transfusion staff is rarely discussed. We describe the transfusion response to four major incidents (MIs) during a 6‐month period. Three events were due to terrorist attacks, and the fourth was the Grenfell Tower fire. The aim of this paper was to share the practical lessons identified. Methods This was a retrospective review of four MIs in 2017 using patient administration systems, MI documentation and post‐incident debriefs. Blood issue, usage and adverse events during the four activation periods were identified using the Laboratory Information Management System (TelePath). Results Thirty‐four patients were admitted (18 P1, 4 P2, 11 P3 and 1 dead). Forty‐five blood samples were received: 24 related to nine MI P1 patients. Four P1s received blood components, three with trauma and one with burns, and 35 components were issued. Total components used were six red blood cells (RBC), six fresh frozen plasma (FFP) and two cryoprecipitate pools. Early lessons identified included sample labelling errors (4/24). Errors resolved following the deployment of transfusion staff within the emergency department. Components were over‐ordered, leading to time‐expiry wastage of platelets. Careful staff management ensured continuity of transfusion services beyond the immediate response period. Debriefing sessions provided staff with support and enabled lessons to be shared. Conclusions Transfusion teams were involved in repeated incidents. The demand for blood was minimal. Workload was related to sample handling rather than component issue. A shared situational awareness would improve stock management. A laboratory debriefing system offered valuable feedback for service improvement, staff training and support.

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“…This new concept in managing transfusion support has been incorporated into national guidance. The Transfusion Practitioner is emerging as the key link in this patient safety process 13 …”

Section: Discussionmentioning

confidence: 99%

London 2017: Lessons learned in transfusion emergency planning

Chowdhury

Doughty

Batrick

2021

Transfusion Medicine

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“…23,33,39,62,68,82,91,102,105,106 Depending upon the extent, location and duration of an MCI, fire, rescue and security services, incident management teams, ambulance and transport crew, hospital ancillary staff, translators, information technology (IT) specialists and engineers, as well as social services-who can assist with emotional trauma and maintain a family information center-should remain engaged and involved in providing acute care. 23,27,38,41,54,68,74,81,82,98,[107][108][109][110][111][112][113] Some experts outlined core competencies for frontline responders participating in an MCI response. 30,33,34,37,58,84,89,[98][99][100]107,[114][115][116][117][118][119][120][121][1...…”

Section: Safety and Securitymentioning

confidence: 99%

A Scoping Review of the Essential Components of Emergency Medical Response Systems for Mass Casualty Incidents

Usoro

Mehmood

Rapaport

et al. 2023

Disaster med. public health prep.

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Objective: Emergency medical (EM) response systems require extensive coordination, particularly during mass casualty incidents (MCIs). The recognition of preparedness gaps and contextual priorities to MCI response capacity in low- and middle-income countries (LMICs) can be better understood through the components of EM reponse systems. This study aims to delineate essential components and provide a framework for effective emergency medical response to MCIs. Methods: A scoping review was conducted using 4 databases. Title and abstract screening was followed by full-text review. Thematic analysis was conducted to identify themes pertaining to the essential components and integration of EM response systems. Results: Of 20,456 screened citations, 181 articles were included in the analysis. Seven major and 40 sub-themes emerged from the content analysis as the essential components and supportive elements of MCI medical response. The essential components of MCI response were integrated into a framework demonstrating interrelated connections between essential and supportive elements. Conclusions: Definitions of essential components of EM response to MCIs vary considerably. Most literature pertaining to MCI response originates from high income countries with far fewer reports from LMICs. Integration of essential components is needed in different geopolitical and economic contexts to ensure an effective MCI emergency medical response.

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“…11,12 This, together with wider involvement of hospital transfusion teams in emergency planning, facilitated a consistency of policy and improvement in emergency preparedness across the country, which was subsequently integrated into national blood service planning for the London 2012 Olympics. 8,10,12,13…”

Section: Transfusion Emergency Preparednessmentioning

confidence: 99%

“…We therefore recommend use of a dedicated transfusion coordinator during MCEs in the emergency clinical areas. 13 These novel role-holders, from scientific or clinical backgrounds, should provide liaison with the laboratory for blood component requests and delivery to clinical areas, and coordinate blood sample collection and dispatch back to the laboratory. They may also be used to issue and track emergency components locally and support post-incident recovery and review.…”

Section: Blood Stock Managementmentioning

confidence: 99%