Where is everyone at with Fresh Whole Blood?

2018-11-09T04:26:45-05:00

What is the operational force knowledge and implementation of using (O low T) Fresh Whole Blood? Dialogue encouraged, what challenges if any have been met?

Response by SFC Ralph E Kelley made Nov 9 at 2018 5:11 AM

2018-11-09T05:11:50-05:00

Running a crossover tube line for transfusions is a relatively easy task. I would ID your blood types in your platoon and ensure your nedic has them Plus have him train a couple of assistants.

Response by MSG Private RallyPoint Member made Nov 9 at 2018 9:03 AM

2018-11-09T09:03:12-05:00

This is a great topic and glad you brought it up. We learned about it last cycle at ALC and the baby medics in training are learning it. I would further like to pose a question to the group: where can we find the training literature and supplies to train with?

Response by SSG(P) Brian Kliesen made Nov 10 at 2018 9:27 AM

2018-11-10T09:27:25-05:00

My Army Reserve unit (a medical company) is still stuck in the mire of taskers, powerpoint, med pros updates and last minute requests from higher that prevent useful, real world training, and this that is supposed to be a ready force x unit. We have asked about this numerous times but received no information, policy or training. It is a great idea, could be easily executed and will ultimately save lives, but we haven't heard a thing, even though we have asked over and over again.

Response by Capt Daniel Goodman made Nov 10 at 2018 7:51 PM

2018-11-10T19:51:49-05:00

https://www.jems.com/articles/print/volume-43/issue-2/features/whole-blood-in-ems-may-save-lives.html

That is an interesting topic...I'd been well aware of crystalloid substitutes for quite some time, however, it is of interest, lemme see if I can find some relevant stuff on the NIH Medline sites, I'll try to send you the links, you'd find them of use, I'll also try to send others I know of as well....

whole-blood-in-ems-may-save-lives.html

Response by Capt Daniel Goodman made Nov 10 at 2018 7:53 PM

2018-11-10T19:53:48-05:00

https://www.ncbi.nlm.nih.gov/pubmed/?term=o+low+t+whole+blood+emergency+medicine

Try these, you'll see the main NIH Medline search engine, called Entrez Pubmed....

o low t whole blood emergency medicine - PubMed - NCBI

PubMed comprises more than 28 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.

Response by Capt Daniel Goodman made Nov 10 at 2018 7:54 PM

2018-11-10T19:54:57-05:00

https://www.ncbi.nlm.nih.gov/pmc/?term=o+low+t+whole+blood

And these, they're on the free NIH Medline site, called Pubmed Central....

o low t whole blood - PMC - NCBI

National Center for Biotechnology Information, U.S. National Library of Medicine 8600 Rockville Pike, Bethesda MD, 20894 USA

Response by Capt Daniel Goodman made Nov 10 at 2018 7:57 PM

2018-11-10T19:57:15-05:00

https://www.biorxiv.org/search/type%252Bo%252Blow%252Btitre%252Bwhole%252Bblood%20numresults%3A100%20sort%3Arelevance-rank

These are on the BioRxiv site....

Search Results | bioRxiv

bioRxiv - the preprint server for biology, operated by Cold Spring Harbor Laboratory, a research and educational institution

Response by Capt Daniel Goodman made Nov 10 at 2018 7:58 PM

2018-11-10T19:58:15-05:00

https://scholar.google.com/scholar?hl=en&as_sdt=0%2C33&q=type+o+low+titre+whole+blood+emergency+medicine&btnG=

These are on Google Scholar....

Sorry...

... but your computer or network may be sending automated queries. To protect our users, we can't process your request right now.

Response by Capt Daniel Goodman made Nov 10 at 2018 7:59 PM

2018-11-10T19:59:53-05:00

https://academic.oup.com/milmed/search-results?page=1&q=o%20type%20low%20titre%20whole%20blood&fl_SiteID=6110&SearchSourceType=1&allJournals=1

These are on the AMSUS Journal website....

search-results

Response by Capt Daniel Goodman made Nov 10 at 2018 8:02 PM

2018-11-10T20:02:28-05:00

https://www.jems.com/search.html?q=whole+blood

These are in the JEMS Journal, they're somewhat more limited, the best I could find at the moment....

Continuing EducationxbczdtaewxdzqefcvszddcfvvfdtywfbsvrJournalSupplementsNewslettersJobsFeatured JobsSearch JobsPost A JobProductsGrant HelpHot Products from EMS TodayNew Product ShowcaseWebcastseBooksVideosAsk the ExpertEducation & TrainingEMS 10 InterviewsEMS TodayFitnessInternational EMSJEMS GamesProduct Spotlight

Response by Capt Daniel Goodman made Nov 10 at 2018 8:16 PM

2018-11-10T20:16:07-05:00

https://search.aol.com/aol/search?q=u%2es%2e%20army%20institute%20for%20surgical%20research&s_it=loki-tb-sb

I'd read of this for some time, I merely knew it existed, you might find their material, if you asked about it, of very real possible use, in that context, I'd be quite surprised if they didn't have active research on that topic, obviously....

u%2es%2e%20army%20institute%20for%20surgical%20research - AOL Search Results

%20DISCOVER%20THE%20PACIFIC%20NORTHWEST%20Embark%20on%20your%20travel%20rehab%20journey%20with%20exciting%20assignments%20in%20Alaska%2C%20Washington%2C%20Oregon ...

Response by Capt Daniel Goodman made Nov 10 at 2018 8:17 PM

2018-11-10T20:17:34-05:00

https://arxiv.org/search/?query=whole+blood&searchtype=all&source=header

This isn't explicitly a bio research site, per se, however, it's just about one of the most comprehensive of all the major serious research preprint sites, I assure you....

Search | arXiv e-print repository

Fast and sensitive detection of hemoglobin and other paramagnetic species using coupled charge and spin dynamics in strongly fluorescent nanodiamonds

Response by Capt Daniel Goodman made Nov 10 at 2018 8:19 PM

2018-11-10T20:19:21-05:00

http://vixra.org/abs/1204.0090

This is the only one I could find quickly on this alternate newer preprint site, you might care to also try here, I'm obviously not saying this specific piece is directly relevant, of course....

Acute Respiratory Distress Syndrome is a TH17-Like and Treg Immune Disease, viXra.org e-Print...

Acute Respiratory Distress Syndrome (ARDS) is a very severe syndrome leading to respiratory failure and subsequent mortality. Sepsis is the leading cause of acute respiratory distress syndrome. Thus, extracellular bacteria play an important role in the pathophysiology of ARDS. Overactivated neutrophils are the major effector cells in ARDS. Thus, extracellular bacteria triggered TH17-like innate immunity with neutrophil activation counts for...

Response by Capt Daniel Goodman made Nov 10 at 2018 8:20 PM

2018-11-10T20:20:26-05:00

https://search.aol.com/aol/search?q=nih%20emergency%20care%20research%20whole%20blood&s_it=loki-tb-sb

These were listed under NIH for emergency care research....

nih%20emergency%20care%20research%20whole%20blood - AOL Search Results

{"cattitle-1":"RENAL FAILURE","cat1q1":"The client’s serum potassium level is elevated in acute renal failure, and the nurse administers sodium polystyrene ...

Response by Capt Daniel Goodman made Nov 10 at 2018 8:21 PM

2018-11-10T20:21:22-05:00

https://search.aol.com/aol/search?q=fda%20emergency%20medicine%20whole%20blood&s_it=loki-tb-sb

Here's similar material under FDA....

fda%20emergency%20medicine%20whole%20blood - AOL Search Results

Clinical problems associated with abnormal thrombosis. Local thrombosis is an important part of the normal hemostatic = response=20 that limits hemorrhage from microscopic or macroscopic vascular = injury.=20 Physiologic thrombosis is counterbalanced by physiologic = anticoagulation=20 and physiologic fibrinolysis.

Response by Capt Daniel Goodman made Nov 10 at 2018 8:22 PM

2018-11-10T20:22:04-05:00

https://search.aol.com/aol/search?q=cdc%20emergency%20medicine%20whole%20blood&s_it=loki-tb-sb

Here, I cross-referenced under CDC....

cdc%20emergency%20medicine%20whole%20blood - AOL Search Results

{"cattitle-1":"Renal Dysfunction","cat1q1":"A school-aged clement admitted to the hospital strongecause of decreased urine output and periorbital edema is diagnosed ...

Response by Capt Daniel Goodman made Nov 10 at 2018 8:22 PM

2018-11-10T20:22:56-05:00

https://search.aol.com/aol/search?q=usuhs%20whole%20blood%20emergency%20medicine&s_it=loki-tb-sb

And, here, I cross-referenced under the USUHS school....

usuhs%20whole%20blood%20emergency%20medicine - AOL Search Results

{"cattitle-1":"Renal Dysfunction","cat1q1":"A school-aged clement admitted to the hospital strongecause of decreased urine output and periorbital edema is diagnosed ...

Response by Capt Daniel Goodman made Nov 10 at 2018 8:26 PM

2018-11-10T20:26:35-05:00

http://www.usuhs.gov

You might care to look through the USUHS site and/or call them, I'd be quite surprised if their faculty don't research that whole topic, as well, esp. through their in-house Ph.D. basic med sci (BMS) programs....

www.usuhs.gov

Response by Capt Daniel Goodman made Nov 10 at 2018 8:29 PM

2018-11-10T20:29:12-05:00

You know, candidly, if any of you might know a way I could help contribute to such research, purely as a volunteer, maybe through the Army Volunteer Corps (AVC), God knows, I've tried to find a way to be useful, honest, if any of you can find a way somebody might make use of my mind, rather than having it go totally to waste, both my wife and I would obviously be most obliged, honest...I mean, God knows, I spent 14 yrs training for doctoral level allied health before my total perm disability, if any of you can think of a way I could be of use, please, by all means, fly me, honest, guys, OK?

Response by Capt Daniel Goodman made Nov 10 at 2018 8:31 PM

2018-11-10T20:31:43-05:00

I gotta tell ya, guys, most days, total perm disability totally stinks for most part, you know? I mean, don't get me wrong, chicken little, the sky isn't falling, however, whenever those like you get on here and get my neurons firing, I just detest going totally to waste, I mean, God knows, I've wanted to help with such research longer than God's been alive, you know? So, if any of you have any constructive pearls of wisdom, honest, as I'd said, we'd truly be most obliged, honest, many thanks....

Response by Capt Daniel Goodman made Nov 14 at 2018 1:48 PM

2018-11-14T13:48:28-05:00

Just out of curiosity, do you guys use packed RBCs/WBCs, as well as fresh frozen plasma (FFP)? I'm assuming you all do, I'd just kinda wondered about those, as well as crystalloids...I know the USAF PJs get really extensive combat med training...did any of you ever try getting ahold of any of their guys, to see how they do it at all? Just a thought, obviously, that had occurred to me...see, when I was training, it rather fluctuated as to what those I trained with got exposed to...some lucked out, and got to do some really interesting stuff in the course of their surg exposure and OR time, others just didn't...I mean, we got a good deal of hem/onc, as part of internal-med exposure, I just also have interests in bioengineering, though, God knows, I never got to do it, though, God also knows, I tried, I really did...such topics interest me, that was why I was asking such stuff given all that was raised here...also, that Army-run interservice PA program, I think at Ft. Sam Houston, they must certainly expose their guys to it...I never quite knew the level combat medics were trained to, or Navy Corpsmen, I'd expect it'd all be similar to USAF PJs, in terms of being basically at paramedic level, I just never actually got to ask any of those who do it about it, that was all, I'd be interested to hear more, no rush, obviously, just some random thoughts, you understand....