Dr. Thomas Colletti
In the United States, many people die from trauma due to exsanguination. The systems in place to prevent death in the civilian prehospital setting, which is any medical scenario prior to arrival in the emergency department, fail the American people because of delayed care and lack of appropriate management. Trauma patients who have lost blood need to have blood replaced with whole blood products to carry oxygen and profuse the organs of the patient. The United States Military has vastly researched this topic, and clinical practice guidelines (CPGs) have been developed to allow for prehospital medical providers in the military to infuse blood products. If the EMS agencies in the U.S. implemented similar guidelines, there would be a significant reduction in mortality.
Moreland M. Utilization of Whole Blood in the Civilian Pre-hospital Setting Can Reduce Mortality. Lynchburg Journal of Medical Science. 2021; 3(4).
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