Is Whole Blood Poised for a Comeback in Civilian Trauma?

I have heard all about the benefits of whole blood in military medicine.  Sometimes it seems like a separate world.  Well it turns out, some of civilian practice may be getting closer than I previously thought.  In this editorial by Drs. Evan Pivalizza and Chris Stephens, they explore briefly some of the evidence behind whole blood administration, as well as, some of the considerations for setting up a medical center to be ready to administer whole blood.  Other institutions could probably benefit from their experience.

Dr. Pivalizza is an acute care anesthesiologist in a busy academic level 1 trauma center with interest in coagulation, patient blood management and resuscitation. He works with recognized leaders in trauma surgery (Holcomb, Cotton) and blood banking (Bai, Gulf Coast Regional Blood Center) and has a deep respect for the advances in trauma care that our military medical colleagues have pioneered.  Dr. Stephens completed a fellowship at R Adams Cowley Shock Trauma, and now is the program director for the anesthesiology residency at The University of Texas Health Science Center at Houston.  His research interest lie in prehospital interventions.


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