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首页> 外文期刊>Canadian Journal of Emergency Medicine >Blood on board: The development of a prehospital blood transfusion program in a Canadian helicopter emergency medical service
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Blood on board: The development of a prehospital blood transfusion program in a Canadian helicopter emergency medical service

机译：机上血液：加拿大直升机紧急医疗服务中院前输血计划的制定

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ObjectivePrehospital blood transfusion has been adopted by many civilian helicopter emergency medical services agencies, and early outcomes are positive. The Shock Trauma Air Rescue Society operates six bases in Western Canada and started a blood on board process in 2013 in Regina that has expanded to all bases. Two units of O negative packed red blood cells are carried on every mission. We describe the processes and standard work ensuring safe storage, administration, and stewardship of this important resource.MethodsThe packed red blood cells are stored in an inexpensive, reusable temperature controlled cooler at 1°C–6°C. Close collaboration with local transfusion services and adherence to Canadian transfusion standards contributes to safety and sustainability.ResultsFrom October 1, 2013 to October 10, 2017, the Shock Trauma Air Rescue Society administered blood to 431 patients. Of this total, 62.9% received blood carried on our aircraft. A total of 463 blood box units were administered, and the majority of patients (69.0%) received both units. Blood used in Calgary, Alberta was 100% traceable, and only 1.2% of total units dispensed was wasted. The vast majority of unused units were returned to circulation.ConclusionWe describe the process to set up and monitor a prehospital blood transfusion program. Our standard work and stewardship processes minimize wastage of blood while keeping it readily available for our critically ill and injured patients.
机译：目前许多民用直升机紧急医疗服务机构已经采用了院前输血，早期结果是积极的。休克创伤航空救援协会在加拿大西部设有六个基地，并于2013年在里贾纳开始了鲜血入血工作，现已扩展到所有基地。每个任务执行两个单位的O负压包装的红细胞。我们描述了确保这一重要资源安全存储，管理和管理的过程和标准工作。方法将包装好的红细胞存储在1°C–6°C的廉价，可重复使用的温度控制的冷却器中。结果与2013年10月1日至2017年10月10日，休克创伤航空救援协会为431名患者提供了血液，与当地输血服务机构密切合作并遵守加拿大输血标准。在这总数中，有62.9％接受了我们飞机上携带的血液。总共使用了463个血箱单位，大多数患者（69.0％）同时接受了这两个单位。在艾伯塔省卡尔加里使用的血液是100％可追溯的，仅浪费了分配总量的1.2％。绝大部分未使用的设备已恢复流通。结论我们描述了建立和监测院前输血程序的过程。我们的标准工作和管理流程最大程度地减少了血液浪费，同时使重症患者和受伤患者随时可以使用。

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