Mike Herbert (Blood Transfusion Lead)

“Should emergency red cells be anything other than just Group O?”

1

Should All Emergency Red Cells be Group O

Rh (D) Negative as a minimum?

Vote

Red for Yes

Blue for No

Green for Not Sure

2

3

Pre-hospital PRBC transfusion significantly reduces the time to transfusion for major trauma patients with suspected major

haemorrhage. The majority of patients receiving pre-hospital PRBC were severely injured and required further transfusion in hospital.

Further research is warranted to determine which patients are most likely to have outcome benefit from pre-hospital blood products and

what triggers should be used for pre-hospital transfusion.

4

15% Female 85% male

74% Blunt trauma 24% Penetrating

20% Compressible 80% non-compressible

60% RTA 20% Shooting/Stabbing

75% of the patients treated were young males – the

majority were involved in road traffic accidents (RTA)

25% of patients were females aged 55 years and over

83% of cases were high speed RTAs

The remaining 17% were due to a range of injuries such

as serious falls, incidents involving crushing and assaults

5

6

0

5

10

15

20

25

30

35

0-10 11-2O 21-30 31-40 41-50 51-60 61-70 71-80 80+

%

Age Group (yrs)

1275 transfusion episodes in Emergency Department - 12 months

7

%0

20

40

60

80

100

Anti-C+D

Anti-C+E

anti-c Anti-E Anti-K Anti-Fya

Anti-Jka Anti-Jkb

7.1 8.6 5.7

31.4

5.7

22.915.7

2.9

16 17.225.7

71.4

91

3423 26%

Antibody Specificity

8

9

10

Should All Emergency Red Cells be Group O

Rh (D) Negative as a minimum?

Vote

Red for Yes

Blue for No

Green for Not Sure

11

12

You Decide