Donor performance of combat readiness skills of special forces soldiers are maintained immediately after whole blood donation

Strandenes, Geir; Skogrand, Håkon; Spinella, Philip C.; Hervig, Tor; Rein, Erling Bekkestad

doi:10.1111/j.1537-2995.2012.03767.x

Cited by 39 publications

(42 citation statements)

References 17 publications

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“…Finally, the soldiers placed a sternal intraosseous device and reinfused the FWB. Physical fitness and marksmanship were unaffected by the phlebotomy, all soldiers were able to perform phlebotomy and all were able to place the intraosseous device [48].…”

Section: Hospital Treatmentmentioning

confidence: 99%

Modern Military Trauma

Fields

2014

Anesthesia for Trauma

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Section: Hospital Treatmentmentioning

confidence: 99%

Modern Military Trauma

Fields

2014

Anesthesia for Trauma

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“…The Norwegian Naval Special Operation Commandos have shown, in experimental conditions, that buddy transfusion is feasible, safe for the donor and does not decrease donor combat performance in ideal circumstances in simulated combat 93. Thus, they have developed a training programme and have shown the feasibility of the collection of fresh whole blood by specifically trained medics 89…”

Section: Far-forward Blood Transfusionmentioning

confidence: 99%

“…However, there are some concerns about the pertinence of lactate levels for the evaluation of shock severity during combat. Lactate levels rise naturally when significant exercise is performed, and levels as high as 12 mmol/L can be observed in combat scenarios 93. To overcome this limitation, in the case of doubt, it is suggested that lactate capillary levels should be measured a second time, 15–20 min later, in order to establish a trend line.…”

Section: Protocol Proposalmentioning

confidence: 99%

Tactical damage control resuscitation in austere military environments

Daniel¹,

Habas²,

Malan³

et al. 2016

J R Army Med Corps

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In tactical situations, in association with haemostatic procedures (tourniquet, suture, etc), tranexamic acid should be the first medication used according to the current guidelines. The use of fibrinogen concentrate should also be considered for patients in haemorrhagic shock, especially if point-of-care (POC) testing of haemostasis or shock severity is available. If POC evaluation is not available, it seems reasonable to still administer this treatment after clinical assessment, particularly if the evacuation is delayed. In this situation, lyophilised plasma may also be given as a resuscitation fluid while respecting permissive hypotension. Whole blood transfusion in the field deserves special attention. In addition to the aforementioned treatments, if the field care is prolonged, whole blood transfusion must be considered if it does not delay the evacuation.

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“…Making WFWB available in the farforward environment became one of their main goals, and postdonation performance had to be evaluated before a protocol could be implemented. Researchers linked to the Naval Special Operation Forces (SOF) community designed and completed two studies examining this subject (24). The parameters of oxygen uptake, shooting skills for cognitive purposes, and mountain hiking were investigated.…”

Section: In-the-field Issuesmentioning

confidence: 99%

The Lost Art of Whole Blood Transfusion in Austere Environments

Strandenes

Hervig

Bjerkvig

et al. 2015

Current Sports Medicine Reports

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The optimal resuscitation fluid for uncontrolled bleeding and hemorrhagic shock in both pre- and in-hospital settings has been an ongoing controversy for decades. Hemorrhage continues to be a major cause of death in both the civilian and military trauma population, and survival depends on adequacy of hemorrhage control and resuscitation between onset of bleeding and arrival at a medical treatment facility. The terms far-forward and austere are defined, respectively, as the environment where professional health care providers normally do not operate and a setting in which basic equipment and capabilities necessary for resuscitation are often not available. The relative austerity of a treatment setting may be a function of timing rather than just location, as life-saving interventions must be performed quickly before hemorrhagic shock becomes irreversible. Fresh whole blood transfusions in the field may be a feasible life-saving procedure when facing significant hemorrhage.

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Donor performance of combat readiness skills of special forces soldiers are maintained immediately after whole blood donation

Abstract: This study supports the fact that buddy transfusion may be feasible for healthy well-trained soldiers and does not decrease donor combat performance under ideal circumstances.

Cited by 39 publications

References 17 publications

Modern Military Trauma

Modern Military Trauma

Tactical damage control resuscitation in austere military environments

The Lost Art of Whole Blood Transfusion in Austere Environments

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