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Found 5 results

  1. The only previous listing on this topic was by SMILLER in 2017. I wonder NOW has anyone moved to using STORED whole blood in a tertiary care urban hospital. The Story so far: Our supplier has an inventory of whole blood (some of which is used by the Fire dept or first responders at site of trauma). They would like the hospitals to use whole blood for massive transfusions and are trying to convince the surgeons about the advantages. Question is: What are the advantages (if any). What are the disadvantages. What would be the indication to use whole blood (instead of the massive transfusion protocol that we currently use). What about the logistics of matching blood types? (also I know most whole blood are obviously not leuko reduced). I realize there are many questions, but I appreciate your time and any response. Thanks, P.S. I just saw Jayinsat write updates about the conference in san antonio in 2019. I read the online presentions, but still didn't get convince about in hospital use of the product. Lablion
  2. Yesterday I attended the first of what I am sure to be many National Whole Blood Summits here in San Antonio. https://strac.org/summit/ If your facility or trauma surgeons are not already pushing it, be prepared. It is coming back. The conferences was excellent. The information and statistics presented was compelling. Low Titre O whole blood is coming (back) and will be the preferred product in traumas and hemorrhagic shock. Get ready!
  3. The idea is that whole blood was always the best way to accommodate massively bleeding patients---plasma, RBCs and platelets all in one shot so to speak. And that the common use of component therapy over the years is more due to convenience than otherwise. There have been a few retrospective studies out that seem to suggest that the use of whole blood in these patients leads to better outcomes. On the other hand, maintaining an inventory of WB for the occasional massive transfusion patient seems impractical. Here's one article: http://www.mayoclinic.org/medical-professionals/clinical-updates/trauma/whole-blood-transfusions-reduce-mortality-in-massively-hemorrhaging-patients I am curious if some of our more astute PathLabTalk associates have any opinions on this topic? Thanks, Scott
  4. The idea is that whole blood was always the best way to accommodate massively bleeding patients---plasma, RBCs and platelets all in one shot so to speak. And that the common use of component therapy over the years is more due to convenience than otherwise. There have been a few retrospective studies out that seem to suggest that the use of whole blood in these patients leads to better outcomes. On the other hand, maintaining an inventory of WB for the occasional massive transfusion patient seems impractical. Here's one article: http://www.mayoclinic.org/medical-professionals/clinical-updates/trauma/whole-blood-transfusions-reduce-mortality-in-massively-hemorrhaging-patients I am curious if some of our more astute PathLabTalk associates have any opinions on this topic? Thanks, Scott
  5. When reviewing our utilization data in comparison to the AAP nomogram I think our neonatologists are doing too many neonatal exchange transfusions. We're a hospital of approximately 600 beds with a level 3 NICU and are performing on average 1 every 18 months. How many is everyone else doing each year?
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