Prehospital Blood - Dr. Antevy

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