Accession Number : AD1034199

Title :   Emergency Blood Transfusions in Combat Theaters and Impact on HIV Testing Policy

Descriptive Note : Technical Report


Full Text :

Report Date : 02 Jun 2008

Pagination or Media Count : 8

Abstract : At the request of the Deputy Assistant Secretary of Defense for Force Health Protection and Readiness, the Defense Health Board addressed concerns regarding blood transfusions under emergency protocol in combat theaters. Emergency protocol is defined here as the collection and transfusion of blood products not approved by the Food and Drug Administration (FDA) for the purpose of treating life-threatening traumatic injuries. Combat operations and terrorist events during OPERATION IRAQ FREEDOM (OIF) and OFERATION ENDURING FREEDOM (OEF) resulted in instances where blood product transfusions were required to meet the needs of physicians dealing with multiple and highly severe trauma cases among United States and coalition military service members. In a significant number of these instances, blood was collected under emergency protocol and transfused without complete testing, contrary to current Department of Defense (DoD) doctrine and FDA requirements. The Board was asked to review the issues associated with collection and transfusion of blood products under emergency conditions in a combat environment, and provide comments and recommendations regarding optimal strategies to minimize risk. After an initial briefing to the full Board in open session, the Board President referred this issue to subcommittee Board members.

Descriptors :   health services , medical personnel , combat injuries , combat casualty care , blood transfusions , blood , infectious diseases , hiv infections , health care , combat support , military personnel , hemorrhage , combat support hospitals , military medicine

Subject Categories : Medicine and Medical Research
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE