Professor/Paramedic UT Health San Antonio San Antonio, Texas
Description: Discussion of the regional deployment of prehospital whole blood. He will discuss the region's entire plan on how to get Low Titer O+ Whole Blood to hospitals, ground EMS and HEMS. This will include a discussion of how a new blood service line was created, how the regional deployment plan was developed and the results of that effort. The discussion will include results of patient care, including case studies and research. The discussion will also include lessons learned and regulations from state statutes, FDA and AABB. South Texas also has a plan to deliver blood to the scene in a mass casualty incident as well as a plan to have a civilian walking blood bank to deliver fresh whole blood directly to patients and hospitals. After a few years of prehospital whole blood transfusions, what is the data? Are agencies that transfuse whole blood helping their patients? Who are their patients? Does a whole blood program make financial sense? Discussion of recent research and publications addressing the epidemiology and accounting analysis of whole blood in the urban/suburban and rural communities. Analysis of recent literature regarding the effect of whole blood on physiologic parameters, morbidity, and mortality.
Learning Objectives:
Explain the literature and science behind balanced blood-based resuscitation.
Define the science behind patient criteria necessary to transfuse blood prehospital and discuss any need for changes.
Discuss recent Texas EMS research discussing physiologic parameters, morbidity, and mortality comparing whole blood to crystalloids.
Analyze the demographics, epidemiology, and accounting of whole blood throughout various EMS systems, urban/suburban/rural settings.