STRAC is the recipient of a $150,000 grant from the San Antonio Medical Foundation. This inter-institutional collaboration with the South Texas Blood and Tissue Center, UT Health San Antonio, University Health Systems (UHS), and the US Army Institute of Surgical Research / San Antonio Military Medical Center was formed to study and address the optimizing care of seriously injured or ill patients in STRAC region. This care need is met through the development of a cold stored whole blood product and implement transfusion of cold stored whole blood in the prehospital setting for helicopters emergency medical services. Funding from the Remote Trauma Outcomes Research Network (through the Department of Defense) allowed for an expansion to ground emergency medical services.
What is Whole Blood?
Quick Reference
You can access the STRAC Blood App via https://blood.strac.org
Authors: LTC Randall Schaefer, AN, USA, (Ret.); Tasia Long, MHS; David Wampler, PhD, FAEMS; Rena Summers, BA; Eric Epley, NREMT-P; Elizabeth Waltman, MBA; COL Brian Eastridge, MC, USAR; Col Donald Jenkins, USAF, MC, (Ret.)
Authors: Ryan Newberry, C J Winckler, Ryan Luellwitz, Leslie Greebon, Elly Xenakis, William Bullock, Michael Stringfellow, Julian Mapp
Authors: Maxwell A. Braverman, Alison Smith, Charles Patrick Shahan, Benjamin Axtman, Eric Epley, Scott Hitchman, Elizabeth Waltman, Christopher Winckler, Susannah E. Nicholson, Brian J. Eastridge, Ronald M. Stewart, and Donald H. Jenkins
Authors: Casey Ebrom, EMT-P, FP-C; Craig Manifold, DO, FACEP, FAAEM, FAEMS; and Randi Schaefer, MSN, RN, ACNS-BC, CEN
Authors: Capt. Alex Merkle, PA-C, Randi Schaefer, MSN, RN, ACNS-BC, CEN, Maj. Remealle How, MD and Terrell Fritz, NRP, FP-C | 11.21.19
Authors: Douglas M. Pokorny, Maxwell A. Braverman, Philip M. Edmundson, David M. Bittenbinder, Caroline S. Zhu, Christopher J. Winckler, Randall Schaefer, Ashley C. McGinity, Eric Epley, Brian J. Eastridge, Susannah E. Nicholson, Ronald M. Stewart, & Donald H. Jenkins (2019)
Authors: Caroline S. Zhu, Douglas M. Pokorny, Brian J. Eastridge, Susannah E. Nicholson, Eric Epley, Jason Forcum, Tasia Long, David Miramontes, Randall Schaefer, Michael Shiels, Ronald M. Stewart, Michael Stringfellow, Rena Summers, Christopher J. Winckler, and Donald H. Jenkins (2019)
Authors: Yazer, M. H., Spinella, P. C., Allard, S. , Roxby, D. , So‐Osmon, C. , Lozano, M. , Gunn, K. , Shih, A. W., Stensballe, J. , Johansson, P. I., Bagge Hansen, M. , Maegele, M. , Doughty, H. , Crombie, N. , Jenkins, D. H., McGinity, A. , Schaefer, R. M., Martinaud, C. , Shinar, E. , Strugo, R. , Chen, J. and Russcher, H. (2018)
The mortality from hemorrhage in trauma patients remains high. Early balanced resuscitation improves survival. These truths, balanced with the availability of local resources and our goals for positive regional impact, were the foundation for the development of our pre-hospital whole blood initiative-using low titer cold stored O RhD positive whole blood (LTOWB). The main concern with use of RhD positive blood is the potential development of isoimmunization in RhD negative patients. We used our retrospective massive transfusion protocol (MTP) data to analyze the anticipated risk of this change in practice. In 30 months, out of 124 total MTP patients, only one female of childbearing age that received an MTP was RhD negative. With the risk of isoimmunization very low and the benefit of increased resources for the early administration of balanced resuscitation high, we determined that utilization of LTOWB would be safe and best serve our community.
Regional Whole Blood Committee
Chair: Donald Jenkins, MD, FACS, UT Health San Antonio
Meets: Second Thursday Monthly
1:00PM - 2:00PM
Organization | Type | Status |
---|---|---|
EMS | Carries LTOWB | |
Air Medical | Carries LTOWB | |
Air Medical | Carries LTOWB | |
EMS | Carries LTOWB | |
EMS | Carries LTOWB | |
EMS | Carries LTOWB | |
EMS | Carries LTOWB | |
EMS | Carries LTOWB | |
EMS | Carries LTOWB | |
Lvl IV Trauma Ctr | Carries LTOWB | |
EMS | Carries LTOWB | |
Lvl IV Trauma Ctr | Carries LTOWB | |
EMS | Carries LTOWB | |
EMS | Carries LTOWB | |
EMS | Carries LTOWB | |
Air Medical | Carries LTOWB | |
EMS | Carries LTOWB | |
EMS | Carries LTOWB | |
Lvl I Trauma Ctr | Carries LTOWB | |
EMS | Carries LTOWB | |
EMS | Carries LTOWB | |
Lvl I Trauma Ctr | Carries LTOWB | |
EMS | Carries LTOWB | |
EMS | Carries LTOWB | |
EMS | Carries LTOWB |