Prehospital Whole Blood Administration Not Associated with Increased Transfusion Reactions: The Experience of a Metropolitan EMS Agency
Prehospital LTO+WB is safe to use and has a similar rate of transfusion reaction as when given in-hospital. Concerns about transfusion reactions caused by LTO+WB should not preclude its use prehospital. Regardless of the low incidence of transfusion reactions, prehospital personnel should be trained in their recognition and management. Limitations include retrospective study design and the inability to distinguish transfusion reactions from prehospital LTO+WB versus reaction to blood products transfused at the trauma center.
Authors
- Emmanuel Giovanni Rayas
- David Wampler (ORCID: https://orcid.org/0000-0002-4993-9989)
- Donald H. Jenkins (ORCID: https://orcid.org/0000-0003-2080-8309)
- William H. Bullock (ORCID: https://orcid.org/0000-0001-9677-4489)
- Lauren Barry
- Erika Brigmon
- Jacquelyn Messenger
- C Winckler (ORCID: https://orcid.org/0000-0003-2636-8674)
- Vipulkumar Prajapati
- Emily Raetz (ORCID: https://orcid.org/0000-0001-7003-0094)
- Leslie Greebon
- Rachel Ely (ORCID: https://orcid.org/0000-0001-5501-8660)
- Brian G. Ferguson (ORCID: https://orcid.org/0009-0001-4312-7947)
Institutions
- Unifor (NO)
- Brooke Army Medical Center (US)
- New York City Fire Department (US)
- The University of Texas at San Antonio Health Science Center (US)
- Wilford Hall Ambulatory Surgical Center (US)
- San Antonio Uniformed Services Health Education Consortium (US)
- Joint Base San Antonio (US)
Publication Details
- Journal
- Prehospital Emergency Care
- Published
- 2025-02-13
- DOI
- https://doi.org/10.1080/10903127.2025.2464247
- Citations
- 2
- Primary Topic
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Type
- article
- Field-Weighted Citation Impact
- 3.09