Prehospital blood transfusion in Brazil: results of the first year of implementation in an emergency medical service
Introduction: Hemorrhagic shock is the main cause of death in the prehospital environment, which highlights the need to standardize measures aiming at bleeding control and volume replacement in this environment. In Brazil, the first prehospital packed red blood cell transfusion service started in Se...
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Elsevier
2024-11-01
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| Series: | Hematology, Transfusion and Cell Therapy |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2531137923025348 |
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| author | Lucas Certain João Vitor Cerávolo Rostirola Gabriela Cerávolo Rostirola Juliana Silva Pereira Isabella Gonçalves Karize Ribeiro Gabrigna Filipe Duo Speri Matheus Ferreira Mendes Tainá Serena Mottin Israel da Silva Jussara Aparecida Rodrigues Juliana de Cássia Schevenin Ana Barbara Regiani de Oliveira Amanda Bonamichi Franceli Camila Emanuele Camargo Lisboa Bruno Deltreggia Benites |
| author_facet | Lucas Certain João Vitor Cerávolo Rostirola Gabriela Cerávolo Rostirola Juliana Silva Pereira Isabella Gonçalves Karize Ribeiro Gabrigna Filipe Duo Speri Matheus Ferreira Mendes Tainá Serena Mottin Israel da Silva Jussara Aparecida Rodrigues Juliana de Cássia Schevenin Ana Barbara Regiani de Oliveira Amanda Bonamichi Franceli Camila Emanuele Camargo Lisboa Bruno Deltreggia Benites |
| author_sort | Lucas Certain |
| collection | DOAJ |
| description | Introduction: Hemorrhagic shock is the main cause of death in the prehospital environment, which highlights the need to standardize measures aiming at bleeding control and volume replacement in this environment. In Brazil, the first prehospital packed red blood cell transfusion service started in September 2020, in Bragança Paulista, state of São Paulo. Objectives: Describe the trends and characteristics of patients who received prehospital transfusions prior to hospital treatment during the first year of operation. Methods: A retrospective data review was made of all patients who received transfusions from the mobile intensive care unit in Bragança Paulista over one year. Results: In this period, 19 patients were transfused. Since activation, the average response time was 20 min. The mean shock indexes before and after blood transfusion were 2.16 and 1.1, respectively. During the course of the 1st year of prehospital transfusions, no blood was wasted and there were no adverse effects. Conclusion: Introduction of the prehospital packed red blood cell transfusion service was successful, with significant improvement in hemodynamic parameters. |
| format | Article |
| id | doaj-art-546f30a322bb4d48b1d95e7849e1a552 |
| institution | Kabale University |
| issn | 2531-1379 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Hematology, Transfusion and Cell Therapy |
| spelling | doaj-art-546f30a322bb4d48b1d95e7849e1a5522024-12-01T05:07:41ZengElsevierHematology, Transfusion and Cell Therapy2531-13792024-11-0146S8S12Prehospital blood transfusion in Brazil: results of the first year of implementation in an emergency medical serviceLucas Certain0João Vitor Cerávolo Rostirola1Gabriela Cerávolo Rostirola2Juliana Silva Pereira3Isabella Gonçalves4Karize Ribeiro Gabrigna5Filipe Duo Speri6Matheus Ferreira Mendes7Tainá Serena Mottin8Israel da Silva9Jussara Aparecida Rodrigues10Juliana de Cássia Schevenin11Ana Barbara Regiani de Oliveira12Amanda Bonamichi Franceli13Camila Emanuele Camargo Lisboa14Bruno Deltreggia Benites15Serviço de Atendimento Móvel de Urgência (SAMU − 192), Bragança Paulista, SP, Brazil; Corresponding author at: Rua Santi Joanni Baptista, 200, Hípica Jaguary, Bragança Paulista, CEP: 12926449, Brazil.Universidade São Francisco (USF), Bragança Paulista, SP, BrazilUniversidade São Francisco (USF), Bragança Paulista, SP, BrazilUniversidade São Francisco (USF), Bragança Paulista, SP, BrazilServiço de Atendimento Móvel de Urgência (SAMU − 192), Bragança Paulista, SP, Brazil; Universidade São Francisco (USF), Bragança Paulista, SP, Brazil; Universidade Nove de Julho (UNINOVE), Osasco, SP, Brazil; Hemonúcleo - Hospital Universitário São Francisco de Assis (HUSF), Bragança Paulista, SP, Brazil; Secretaria Municipal de Saúde, Bragança Paulista, SP, Brazil; Centro de Hematologia e Hemoterapia, Universidade Estadual de Campinas (Hemocentro Unicamp), Campinas, SP, BrazilUniversidade São Francisco (USF), Bragança Paulista, SP, BrazilUniversidade São Francisco (USF), Bragança Paulista, SP, BrazilUniversidade São Francisco (USF), Bragança Paulista, SP, BrazilUniversidade São Francisco (USF), Bragança Paulista, SP, BrazilServiço de Atendimento Móvel de Urgência (SAMU − 192), Bragança Paulista, SP, BrazilHemonúcleo - Hospital Universitário São Francisco de Assis (HUSF), Bragança Paulista, SP, BrazilSecretaria Municipal de Saúde, Bragança Paulista, SP, BrazilSecretaria Municipal de Saúde, Bragança Paulista, SP, BrazilSecretaria Municipal de Saúde, Bragança Paulista, SP, BrazilSecretaria Municipal de Saúde, Bragança Paulista, SP, BrazilCentro de Hematologia e Hemoterapia, Universidade Estadual de Campinas (Hemocentro Unicamp), Campinas, SP, BrazilIntroduction: Hemorrhagic shock is the main cause of death in the prehospital environment, which highlights the need to standardize measures aiming at bleeding control and volume replacement in this environment. In Brazil, the first prehospital packed red blood cell transfusion service started in September 2020, in Bragança Paulista, state of São Paulo. Objectives: Describe the trends and characteristics of patients who received prehospital transfusions prior to hospital treatment during the first year of operation. Methods: A retrospective data review was made of all patients who received transfusions from the mobile intensive care unit in Bragança Paulista over one year. Results: In this period, 19 patients were transfused. Since activation, the average response time was 20 min. The mean shock indexes before and after blood transfusion were 2.16 and 1.1, respectively. During the course of the 1st year of prehospital transfusions, no blood was wasted and there were no adverse effects. Conclusion: Introduction of the prehospital packed red blood cell transfusion service was successful, with significant improvement in hemodynamic parameters.http://www.sciencedirect.com/science/article/pii/S2531137923025348Prehospital transfusion servicePatient blood managementMassive transfusionRed cell componentsTransfusion strategy |
| spellingShingle | Lucas Certain João Vitor Cerávolo Rostirola Gabriela Cerávolo Rostirola Juliana Silva Pereira Isabella Gonçalves Karize Ribeiro Gabrigna Filipe Duo Speri Matheus Ferreira Mendes Tainá Serena Mottin Israel da Silva Jussara Aparecida Rodrigues Juliana de Cássia Schevenin Ana Barbara Regiani de Oliveira Amanda Bonamichi Franceli Camila Emanuele Camargo Lisboa Bruno Deltreggia Benites Prehospital blood transfusion in Brazil: results of the first year of implementation in an emergency medical service Hematology, Transfusion and Cell Therapy Prehospital transfusion service Patient blood management Massive transfusion Red cell components Transfusion strategy |
| title | Prehospital blood transfusion in Brazil: results of the first year of implementation in an emergency medical service |
| title_full | Prehospital blood transfusion in Brazil: results of the first year of implementation in an emergency medical service |
| title_fullStr | Prehospital blood transfusion in Brazil: results of the first year of implementation in an emergency medical service |
| title_full_unstemmed | Prehospital blood transfusion in Brazil: results of the first year of implementation in an emergency medical service |
| title_short | Prehospital blood transfusion in Brazil: results of the first year of implementation in an emergency medical service |
| title_sort | prehospital blood transfusion in brazil results of the first year of implementation in an emergency medical service |
| topic | Prehospital transfusion service Patient blood management Massive transfusion Red cell components Transfusion strategy |
| url | http://www.sciencedirect.com/science/article/pii/S2531137923025348 |
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