1767 A survey to define the pre-hospital blood resuscitation practices of UK Air Ambulances

Conclusion Nineteen (95.0%) AAs responded, and transported a total of 12,170 patients to hospital during 2019. The mean pre-hospital time (999-call to hospital arrival) was 92.2 (±18.6) minutes. 18 (94.7%) AAs routinely carried blood products, including combinations of red cells, thawed plasma, freeze-dried plasma, and fibrinogen concentrate, table 1. The mean units of red cells and plasma carried were 2.6 (±0.9) and 3.0 (±1.1) respectively. 709 (5.8%) adult patients received a prehospital transfusion, of which n=669 (94.4%) had a traumatic aetiology; n=384 (57.4%) and n=183 (27.4%) were transfused ≥2 and ≥4 units respectively. Forty adults received prehospital blood for non-traumatic aetiologies, including: n=18 vascular, n=10 gastrointestinal, n=6 obstetric, n=6 other. In addition, n=24 paediatric patients received a prehospital transfusion; n=23 (95.8%) following trauma. Fifteen (79.0%) UK AAs surveyed wanted to take part in future research investigating the effectiveness of whole blood transfusion. Abstract 1767 Table 1Blood component combinations carried by UK Air Ambulances in 2019, n=19 Blood component combinations Number of Air Ambulances (% of total) Red cells and freeze-dried plasma 7 (36.8%) Red cells and thawed plasma* 6 (31.6%) Red cells only 3 (15.8%) Freeze-dried plasma only 1 (5.3%) Red cells in thawed plasma (RCP)** 1 (5.3%) No products 1 (5.3%) * One air ambulance carried fibrinogen concentrate in addition to a combination of...
Source: Emergency Medicine Journal - Category: Emergency Medicine Authors: Tags: RCEM Moderated Papers Source Type: research