SGEM#516: A Whole Lotta Blood – Whole Blood Transfusion in the Prehospital Setting

Ensayos extraídos del pódcast de Dr. Ken Milne

• 2026SWiFTEmergency & ResuscitationIn 942 patients with major traumatic hemorrhage, prehospital whole blood did not reduce death or massive transfusion at 24 hours compared with blood components.
• 2015PROPPREmergency & ResuscitationIn 680 trauma patients with major bleeding, 1:1:1 plasma-platelet-red-cell transfusion did not lower 24-hour or 30-day mortality compared with 1:1:2.
• 2018PAMPerEmergency & ResuscitationIn 501 trauma patients at risk for hemorrhagic shock flown to hospital, prehospital thawed plasma cut 30-day mortality compared with standard-care resuscitation.
• 2018COMBATEmergency & ResuscitationIn 144 adults with prehospital haemorrhagic shock, plasma-first resuscitation during ground transport did not reduce 28-day mortality compared with normal saline.