Prehospital Whole Blood for the Hemorrhaging Patient

Trauma patients bleed whole blood. However, over the last three decades, trauma patients requiring resuscitation have typically received crystalloids during prehospital resuscitation and blood component therapy during in-hospital resuscitation. Blood-based resuscitation, specifically the use of low-titer O-positive whole blood (LTOWB), is a capability available to very few prehospital providers. This presentation reviews a large-scale, multidisciplinary, multi-institutional regional trauma system prehospital LTOWB program in Southwest Texas. A large urban EMS system and 18 rural and frontier air medical providers deployed LTOWB for the treatment of patients in hemorrhagic shock. Learn about the system and clinical processes that led to the successful deployment of LTOWB in the prehospital setting.