دورية أكاديمية
أعرض في EDS

Deployed skills training for whole blood collection by a special operations expeditionary surgical team.

التفاصيل البيبلوغرافية
العنوان: Deployed skills training for whole blood collection by a special operations expeditionary surgical team.
المؤلفون: Benavides LC; From the Martin Army Medical Center (L.C.B., J.M.B.), Fort Benning, Georgia; Academic Department of Military Surgery & Trauma (I.M.S.), Royal Centre for Defence Medicine, Birmingham, United Kingdom; 16 Medical Regiment, 16 Air Assault Brigade (D.M.B.), Colchester, United Kingdom; Academic Department of Military Anaesthesia and Critical Care (H.A.D.), Royal Center for Defence Medicine, United Kingdom; Carl R. Darnall Army Medical Center, Department of General Surgery (J. B. L.), Fort Hood, Texas., Smith IM, Benavides JM, Bowley DM, Doughty HA, Lundy JB
المصدر: The journal of trauma and acute care surgery [J Trauma Acute Care Surg] 2017 Jun; Vol. 82 (6S Suppl 1), pp. S96-S102.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott, Williams & Wilkins Country of Publication: United States NLM ID: 101570622 Publication Model: Print Cited Medium: Internet ISSN: 2163-0763 (Electronic) Linking ISSN: 21630755 NLM ISO Abbreviation: J Trauma Acute Care Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, MD : Lippincott, Williams & Wilkins
مواضيع طبية MeSH: Blood Donors/*education , Military Medicine/*education, Afghan Campaign 2001- ; Blood Transfusion/methods ; Humans ; Military Medicine/methods ; Traumatology/education ; Traumatology/methods ; United States ; Wounds and Injuries/therapy
مستخلص: Background: Noncompressible hemorrhage is the leading cause of potentially preventable battlefield death. Combining casualty retrieval from the battlefield and damage control resuscitation (DCR) within the "golden hour" increases survival. However, transfusion requirements may exceed the current blood component stocks held by forward surgical teams. Warm fresh whole blood (WFWB) is an alternative. We report WFWB transfusion training developed by and delivered to a US Golden Hour Offset Surgical Treatment Team and the resulting improvement in confidence with WFWB transfusion.
Methods: A bespoke instructional package was derived from existing operational clinical guidelines. All Golden Hour Offset Surgical Treatment Team personnel completed initial training, reinforced through ongoing casualty simulations. A record of blood types and donor eligibility was established to facilitate rapid identification of potential WFWB donors. Self-reported confidence in seven aspects of the WFWB transfusion process was assessed before and after training using a five-point Likert scale. Personnel were analyzed by groups consisting of those whose operational role includes WFWB transfusion ("transfusers"), clinical personnel without such responsibilities ("nontransfusers") and nonclinical personnel (other). Comparisons within and between groups were made using appropriate nonparametric tests.
Results: Data were collected from 39 (89%) of 44 training participants: 24 (62%) transfusers, 12 (31%) nontransfusing clinicians, and 3 (8%) other personnel. Transfusers and nontransfusers reported increased comfort with all practical elements of WFWB transfusion. The confidence of other personnel also increased, but (likely due to small numbers) was not statistically significant.
Conclusion: WFWB transfusion is an integral part of modern deployed military remote DCR. Our in-theater training program rapidly and reproducibly enhanced the comfort in WFWB transfusion in providers from a range of backgrounds and skill-mixes. This model has the potential to improve both safety and effectiveness of WFWB remote DCR in the far-forward deployed setting.
Level of Evidence: Therapeutic/care management study, level IV.
تواريخ الأحداث: Date Created: 20170324 Date Completed: 20170802 Latest Revision: 20190104
رمز التحديث: 20221213
DOI: 10.1097/TA.0000000000001433
PMID: 28333831
قاعدة البيانات: MEDLINE
الوصف
تدمد:2163-0763
DOI:10.1097/TA.0000000000001433