Non-Anticoagulated Fresh Whole Blood Syringe Transfusion as an Alternative for Military Hemorrhage Resuscitation in Austere Environments

These findings suggest that non-anticoagulated fresh whole blood may be transfused within 5 minutes at infusion rates of 100 mL/minute or less with no significant clot burden and no evidence of hemolysis. Longer storage times and faster infusion rates may also be clinical safe but require further investigation. This study indicates that there may be some potential use of this method in military units executing a fresh whole blood draw with short donor-to-recipient times.

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Publication Details

Journal
Military Medicine
Published
2026-01-22
DOI
https://doi.org/10.1093/milmed/usaf564
Primary Topic
Trauma, Hemostasis, Coagulopathy, Resuscitation
Type
article
Field-Weighted Citation Impact
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article

Non-Anticoagulated Fresh Whole Blood Syringe Transfusion as an Alternative for Military Hemorrhage Resuscitation in Austere Environments

Bryan Obika, Herman Freeman, Sarah Glier, Christopher J Scheiber et al.
Military Medicine
Trauma, Hemostasis, Coagulopathy, Resuscitation
article

Non-Anticoagulated Fresh Whole Blood Syringe Transfusion as an Alternative for Military Hemorrhage Resuscitation in Austere Environments

Bryan Obika, Herman Freeman, Sarah Glier, Christopher J Scheiber, Matthew Vander Ploeg, Richard D Neading, Mark Hanlon, Justin Magin, Om Dave, Andrew Tolksdorf, Alan Smeltz, Alexander Doyal
article en

Abstract

These findings suggest that non-anticoagulated fresh whole blood may be transfused within 5 minutes at infusion rates of 100 mL/minute or less with no significant clot burden and no evidence of hemolysis. Longer storage times and faster infusion rates may also be clinical safe but require further investigation. This study indicates that there may be some potential use of this method in military units executing a fresh whole blood draw with short donor-to-recipient times.

Military Medicine
University of North Carolina at Chapel Hill (US), University of North Carolina Hospitals (US), Johns Hopkins Hospital (US), United States Marine Corps (US)
Openalex Percentile: Top 76%
Trauma, Hemostasis, Coagulopathy, Resuscitation
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