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Does anyone know of a program for training EMTs and Paramedics how to store and transport blood products as well as transfuse safely (which will probably be a rare task for any one individual)? And then how about a process to assess that they are remaining competent? I don't want to administer such a program as I already have a full-time job but would like to point them in the right direction or make clear what it would take to accomplish this. We might consider providing liquid plasma if they can check all of the required boxes. Our Air Ambulances already carry blood products, but they get a lot of opportunity to transfuse and are accustomed to following strict FAA regulations. I think a lot of them are RNs also. This would be ground ambulances.
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My hospital is currently is the process of discontinuing making reconstituted whole blood in house due to multiple factors (competency, FDA license/inspection, equipment, etc...). Due to some restructuring of our blood supplier we now have access to ordering this product through them (yay!) with a turn-around-time of about 6ish hours. Our neonatologists have been understanding of the reasons and the move to the new process, however, they do want to set up an alternative option for emergency situations (extreme bad weather that would significantly delay the TAT). I've heard of some hospitals that are using alternating aliquots of red cells and FFP in place of the reconstituted whole blood which seems like it would be fine, but I can't find any good procedures/guidelines outlining this process or any evidence-based journal articles. Has anyone else come across this before or have access to any guidelines/articles about this? Or how does your hospital handle neonatal exchange transfusion without whole blood? Thanks in advance!
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- reconstituted whole blood
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