Critical Levels

On this month’s episode, we are going to talk about prehospital blood administration with Dr. Peter Antevy

Some topics covered are:

Historical trauma management

Blood

• why
• blood components
• administration ratios
• blood type

Blood administration

• who do we give blood to
• medical vs trauma (blunt vs penetrating)
• elderly vs peds
• vital sign parameters
• when do we administer it
• how do we give it
• IO vs IV (size matters…)
• temperature

Logistics

• how do we get it patient side
• cold chain storage
• temperature management
• training (initial and ongoing)
• minimizing waste

Challenges

• consent
• religion
• administering to females of child bearing age
• transfusion reaction

Blood Adjuncts

• TXA
• calcium
• other

What’s the data showing? Next steps