ArticleScandinavian journal of trauma, resuscitation and emergency medicine2020
Pre-hospital blood transfusion - an ESA survey of European practice.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 70 citations in OpenAlex.
- Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial.The Lancet. Haematology · 2022Trial
- Effects of external factors on red blood cell concentrate quality during helicopter transport: a pilot study.World journal of emergency medicine · 2026Article
- Best practices on blood and blood products for a prehospital hemorrhage protocol: consensus from the 2025 Canadian prehospital transfusion summit.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Rationale, development and feasibility of a national prehospital transfusion registry.Resuscitation plus · 2026Article
- Association of time to red blood cell transfusion on outcomes in patients with gastrointestinal bleeding.Annals of medicine · 2025Article
- Indicators of early transfusion in paediatric trauma: a retrospective analysis of 11,849 cases from the TraumaRegister DGUScandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Factors in the Initial Resuscitation of Patients With Severe Trauma: The FiiRST-2 Randomized Clinical Trial.JAMA network open · 2025Article
- Pre-hospital assessment of trauma associated severe hemorrhage (phTASH) - analysis of TraumaRegister DGUScandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Prehospital measurement and treatment of ionised hypocalcaemia by UK helicopter emergency medical services in trauma patients: a survey of current practice.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Prehospital blood transfusion-experience from a specialized prehospital response vehicle-a retrospective cohort study.Frontiers in medicine · 2025Article
- [Prehospital blood transfusion : Opportunities and challenges for the German emergency medical services].Die Anaesthesiologie · 2024Review
- Calcium supplementation during trauma resuscitation: a propensity score-matched analysis from the TraumaRegister DGUCritical care (London, England) · 2024Article
- Current trends in the management of out of hospital cardiac arrest (OHCA).Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2024Review
- Patients at Risk for Transfusion-A Six-Year Multicentre Analysis of More Than 320,000 Helicopter Emergency Medical Service Missions.Journal of clinical medicine · 2023Article
- Pre-Hospital Blood Products for the Care of Bleeding Trauma Patients.Deutsches Arzteblatt international · 2023Review
- Trauma-induced disturbances in ionized calcium levels correlate parabolically with coagulopathy, transfusion, and mortality: a multicentre cohort analysis from the TraumaRegister DGUCritical care (London, England) · 2023Article
- Prehospital predictors of the need for transfusion in patients with major trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Observational
- A descriptive analysis of the Canadian prehospital and transport transfusion (CAN-PATT) network.Resuscitation plus · 2023Article
- Prediction of pre-hospital blood transfusion in trauma patients based on scoring systems.BMC emergency medicine · 2023Article
- Advanced and Invasive Cardiopulmonary Resuscitation (CPR) Techniques as an Adjunct to Advanced Cardiac Life Support.Journal of clinical medicine · 2022Review
Corrections and comments
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Authors and funding
7 authors at 7 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBlood products are a lifesaving commodity in the treatment of major trauma. Although there is little evidence for use of pre-hospital blood products (PHBP) in seriously injured patients, an increasing number of emergency medical services have started using PHBP for treatment of major haemorrhage. The primary aim of this survey was to establish the degree of prehospital blood product use throughout Europe and discover main indications. The secondary aim was to evaluate opinions about PHBP and also the experience and the personal views of its users.
methodsThe subcommittee for Critical Emergency Medicine of the European Society of Anaesthesiology (ESA) held an online survey of European Helicopter Emergency Services (HEMS) and all French Services d'Aide Médicale Urgente (SAMU) regions. It contained 13 questions both open and multiple-choice about the frequency transfusions are carried out, the PHBP used and the perceived benefit. The survey was distributed to the corresponding HEMS leads in 14 European countries.
resultsIn total there were 172 valid responses; overall 48% of all respondents have prehospital access to packed red cells, 22% to fresh plasma and 14% use lyophilised plasma. Besides blood product administration, 94% of all services use tranexamic acid. Sixty five percent of all replies came from French and from German services (37 and 28% respectively). PHBP were mainly used for trauma related emergencies. France has the highest uptake of use of blood products at 89%, whereas the rate in Germany was far lower at 6%. Fifty five percent of the service leads felt that PHBP are beneficial, and even lifesaving in individual cases despite being needed infrequently.
conclusionsWe found remarkable dissimilarities in practice between the different European countries. Even if there is not an absolute consensus amongst providers on the benefit of PHBP, the majority feel they are beneficial. The difference in practice is possibly related to the perceived lack of evidence on prehospital blood transfusion. We suggest to include the use of PHBP in trauma registries in order to consolidate the existing evidence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.