Risk Associated With Autologous Fresh Whole Blood Training

Donham, Benjamin; Barbee, George A; Deaton, Travis G; Kerr, Win; Wier, Russell P; Fisher, Andrew D

doi:10.55460/2708-3qm5

Cited by 5 publications

(8 citation statements)

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“…Outcomes might have been different if the recipient had been Group O or B. Previous data on autologous blood transfusion training have noted no safety events 27 . This case, while apparently isolated, demonstrates the need for rigorous safety protocols and vigilant oversight.…”

Section: Discussionmentioning

confidence: 69%

“…Previous data on autologous blood transfusion training have noted no safety events. 27 This case, while apparently isolated, demonstrates the need for rigorous safety protocols and vigilant oversight. We did note that 74% of special operations participants relied on visual inspection of the bag versus a scale for assessment.…”

Section: Discussionmentioning

confidence: 96%

“…26 However, data on training targets and training gaps between experienced medics and new trainees is limited despite data demonstrating the time-sensitive nature of blood product administration. 27,28 Moreover, the safety of this training and its efficacy as a training modality remains unclear. We sought to determine the current state of autologous blood training skills among medics who had never received this training to assess baseline skills, versus experienced medics who had previously received this training to establish training benchmarks.…”

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confidence: 99%

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A prospective assessment of the medic autologous blood transfusion skills for field transfusion preparation

et al. 2023

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Background Data demonstrate the benefit of blood product administration near point‐of‐injury (POI). Fresh whole blood transfusion from a pre‐screened donor provides a source of blood at the POI when resources are constrained. We captured transfusion skills data for medics performing autologous blood transfusion training. Methods We conducted a prospective, observational study of medics with varying levels of experience. Inexperienced medics were those with minimal or no reported experience learning the autologous transfusion procedures, versus reported experience among special operations medics. When available, medics were debriefed after the procedure for qualitative feedback. We followed them for up to 7 days for adverse events. Results The median number of attempts for inexperienced and experienced medics was 1 versus 1 (interquartile range 1–1 for both, p = .260). The inexperienced medics had a slower median time to needle venipuncture access for the donation of 7.3 versus 1.5 min, needle removal after clamping time of 0.3 versus 0.2 min, time to bag preparation of 1.9 versus 1.0 min, time to IV access for reinfusion of 6.0 versus 3.0 min, time to transfusion completion of 17.3 versus 11.0 min, and time to IV removal of 0.9 versus 0.3 min (all p < .05). We noted one administrative safety event in which an allogeneic transfusion occurred. No major adverse events occurred. Qualitative data saturated around the need for quarterly training. Conclusions Inexperienced medics have longer procedure times when training autologous whole blood transfusion skills. This data will help establish training measures of performance for skills optimization when learning this procedure.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 96%

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confidence: 99%

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A prospective assessment of the medic autologous blood transfusion skills for field transfusion preparation

et al. 2023

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“…A previous publication from a military program reported on an estimated 3408 autologous transfusions in training with no instances of hemolytic transfusion reactions or other major complications. 24 The authors conclude that with appropriate control measures in place, autologous FWB training is low-risk training. This is also our experience from conducting civilian training programs for medical students since 2019.…”

Section: Resultsmentioning

confidence: 97%

“…It is important to start training early to ensure best practice. Training programs in emergency whole blood collection in the framework of a WBB have been developed and practiced for military personnel 8,24–26 . In the Norwegian Blood Preparedness project, multidisciplinary programs are being developed tailored for a civilian municipal health care service 3 …”

Section: Introductionmentioning

confidence: 99%

Training of medical students in the use of emergency whole blood collection and transfusion in the framework of a civilian walking blood

et al. 2023

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Introduction In this report, we describe a training program in emergency whole blood collection and transfusion for medical students at the University of Bergen. The overall aim of the program is to improve the availability of early balanced blood transfusion for the treatment of patients with life‐threatening bleeding in rural health care services. Study Design and Methods The voluntary training program provides the knowledge needed to practice emergency whole blood transfusions and understand the system for emergency whole blood collection in the framework of a civilian walking blood bank (WBB). It includes theoretical and practical sessions. In‐person teaching and web‐based learning resources are provided. An anonymous survey of the students attending the training course in the autumn of 2022 and spring 2023 was performed. Results 128 of 178 students participated in the practical training. 88 of 128 (69%) responded to the survey. 82 (93%) performed blood typing, 71 (81%) performed donor interviews, 61 (69%) partially performed whole blood collection (up to blood in bag) and 27 (30%) participated in complete whole blood collection and performed autologous reinfusion. No complications occurred during training. The students reported that the training course increased their understanding of how to ensure access to emergency blood transfusion by the use of a WBB. Discussion Structured theoretical and practical training in emergency whole blood collection and emergency transfusion is feasible and of interest to medical students. A multidisciplinary approach to student training in emergency whole blood collection and transfusion should be considered.

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Critical Care in the Austere Environment

Lord,

Lee

2024

Critical Care Clinics

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Risk Associated With Autologous Fresh Whole Blood Training

Cited by 5 publications

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A prospective assessment of the medic autologous blood transfusion skills for field transfusion preparation

A prospective assessment of the medic autologous blood transfusion skills for field transfusion preparation

Training of medical students in the use of emergency whole blood collection and transfusion in the framework of a civilian walking blood

Critical Care in the Austere Environment

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