Is Whole Blood Making a Comeback to Civilian Practice?

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Is Whole Blood Making a Comeback to Civilian Practice?
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Trials in Europe are determining the feasibility of reintroducing whole blood to emergency services after decades of using blood components.

A clinical trial in Finland will seek to determine whether emergency services can safely use whole blood for transfusions before patients reach the hospital. Other trials held in the United Kingdom and France suggest the return of whole blood is being considered as a replacement product for acute bleeding.

They are also an efficient use of scarce resources. “We can help three patients with one donation, and that is very ethical,” he added. “A whole-blood-based resuscitation strategy gives you a more concentrated transfusion,” she said. “So if you use whole blood, you give more of what the patient needs and less excess fluid.”

Like France and the United Kingdom, the military is very much part of the blood preparedness strategy in Norway. But Norway has gone further, implementing whole blood throughout its hospitals, and not just in trauma wards, since 2017. The main patient groups receiving whole blood are trauma and surgery patients, in addition to those with obstetric and gastrointestinal bleeds, according to Apelseth.

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