Flightmed archive for May-2002
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Flightmed archive for May-2002



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Re: Transfusions



Hi Brian,
 
LifeFlight in Pennsylvania carries two each of O-neg and O-pos on every flight, whether trauma, cardiac, or PR... doesn't matter; if the nurses are in the aircraft, so is the blood.  (The O-neg goes to women of child-bearing age; others get the O-pos.)  We have so many back-to-back flights, or instances when we're diverted from a cardiac to a scene, or the patient is sicker than as originally billed, that it makes sense just to have it on board every time we fly. 
 
We have aircraft at several hospitals as well as at airports, and at each of our five bases, we maintain blood refrigerators which are approved by our institution's blood bank, and we must follow strict guidelines for checking the temps, alarms etc.  When blood is one week from expiration, we return it to our institution's blood bank when we fly in and exchange it for fresh.
 
Hope this helps..
Cece Peterson, RN, CEN, CFRN
LifeFlight, Pittsburgh, PA
----- Original Message -----
Sent: Wednesday, May 01, 2002 12:48 PM
Subject: Transfusions

I'm just curious how many programs out there carry uncrossmatched blood on flights.  Is anyone aware of any study that demonstrates the efficacy of prehospital blood transfusion?  I think we all know that blood carries oxygen, therefore it's benefit is demonstrated when it's needed.  I'm just curious as to whether a study exists that demonstrates this benefit in terms of length of survival in hospital or survival to discharge.  

Our program carries two units of O- blood on all trauma flights (scene and interfacility) and flights in which the transfusion of blood may be necessary (GI bleeds, aortic aneurysms, etc).  

Thanks,

Brian Jefferson, RN, CFRN, NREMT-P
MedCenter Air
Charlotte, NC


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