French Project for the Traceability of Products and Blood Transfusion in OPEX

A. Sailliol, G. Fevre, A. V. Deshayes, B. Clavier, S. Ausset, E. Meaudre
2010 Prehospital and Disaster Medicine  
The French military service recently has updated its transfusion policy for overseas operations according to its previous experience and recent medical literature. Methods: A structured search of Medline and the database of United States Army Institute of Surgical Research was performed using a combination of MeSH terms. Results: A total of 2,131 articles were identified, of which 71 relevant articles were abstracted, thus facilitating an update of transfusion policy during overseas operations.
more » ... verseas operations. Briefly, for hemorrhagic shock (HS), it was decided to transfuse red blood cells (RBC) and plasma in a 1/1 ratio, 0.2 gr of fibrinogen (Fi) for every RBC unit, and increase the early use of platelets. Accordingly, it was decided to increase the availability of Secured Freeze-Dried Plasma (FDP) and Fi for forward surgical teams, and to promote the use of fresh whole blood (FWB). Predefined protocols for FWB use for both individual (HS) and collective (blood bank shortage) indications were implemented. A protocol for FWB collection was implemented separately aiming at the anticipation of emergent needs. Conclusions: The French army's medical service has updated its transfusion policy in order to increase the availability of clotting factors for overseas medical operations through the improvement of FDP and FWB use. Prihosp Disast Mid 2010;25(5):s97 Results: In 2007, 2,539 CGR were sent in OPEX, 1,445 (56.9%) destructions were tracked. For the 1,094 (43.1%) remaining, 105 transfusions (4.1%) were recorded. The tracking of 989 (36.3%) was lost. Forty-five patients were transfused, (42 AMP/3 soldiers). A total of 23 transfused patients were tracked (48% AMP/100% soldiers). This new procedure has been validated by the technical authorities of the SSA and will be implemented during H2-2009. Conclusions: The SSA is implementing a new procedure for BP traceability with a target for tracking >95% for 2010. Prthosp Disast Mid 2010;25(5):s97 NATO 2009 Prchospital and Disaster Medicine https://doi.
doi:10.1017/s1049023x00024353 fatcat:eeahqktaojeglpstrbsrgt6v4q