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January 25, 2026Scandinavian Journal of Trauma Resuscitation and Emergency MedicineOpen Access

Prehospital transfusion strategies in haemorrhagic shock

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Authors

BBBrian BurnsBNBrodie NolanIFIan Ferguson

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Overview

Observational studies show increased survival with prehospital whole blood transfusion in trauma, suggesting a need for systematic adoption.

Key Points

  • This research aims to evaluate the effectiveness and challenges of prehospital transfusion strategies in managing haemorrhagic shock.
  • Reviewed existing literature on prehospital transfusion strategies.
  • Compared whole blood utilization to component therapy in trauma settings.
  • Analyzed randomized controlled trials and observational studies.
  • Whole blood transfusion shows four-fold increased survival rates compared to component therapy.
  • Cochrane review found uncertain effects of plasma on mortality at 24 hours.
  • Ongoing trials are examining the effectiveness of prehospital blood products.

Cite This Study

Burns et al. (2026) studied this question.

synapsesocial.com/papers/6975b36bfeba4585c2d6eef7https://doi.org/10.1186/s13049-026-01547-y
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