Accession Number : ADA620456


Title :   Coagulation Function of Stored Whole Blood is Preserved for 14 Days in Austere Conditions: A ROTEM Feasibility Study During a Norwegian Antipiracy Mission and Comparison to Equal Ratio Reconstituted Blood


Descriptive Note : Journal article


Corporate Author : ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX


Personal Author(s) : Strandenes, Geir ; Austlid, Ivar ; Apelseth, Torunn O ; Hervig, Tor A ; Sommerfelt-Pettersen, Jan ; Herzig, Maryanne C ; Cap, Andrew P ; Pidcoke, Heather F ; Kristoffersen, Einar K


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a620456.pdf


Report Date : 24 Jun 2015


Pagination or Media Count : 9


Abstract : Formulation of a medical preparedness plan for treating severely bleeding casualties during naval deployment is a significant challenge because of territory covered during most missions. The aim of this study was to evaluate the concept of walking blood bank as a supportable plan for supplying safe blood and blood products. In 2013, the Royal Norwegian Navy conducted antipiracy operations from a frigate, beginning in the Gulf of Aden and ending in the Indian Ocean. Crews were on 24-hour emergency alert in preparation for an enemy assault on the frigate. Under an approved command protocol, a walking blood bank, using crew blood donations, was established for use on board and on missions conducted in rigid-hulled inflatable boats, during which freeze-dried plasma and leukoreduced, group O low anti-A/ anti-B titer, cold-stored whole blood were stored in Golden Hour Boxes. Data demonstrating the ability to collect, store, and provide whole blood were collected to establish feasibility of implementing a whole blood Y focused remote damage-control resuscitation program aboard a naval vessel. In addition, ROTEM data were collected to demonstrate feasibility of performing this analysis on a large naval vessel and to also measure hemostatic efficacy of cold-stored leukoreduced whole blood (CWB) stored during a period of 14 days. ROTEM data on CWB was compared with reconstituted whole blood. Drills simulating massive transfusion activation were conducted, in which 2 U of warm fresh whole blood with platelet sparing leukoreduction were produced in 40 minutes, followed by collection of two additional units at 15-minute increments. The ROTEM machine performed well during ship-rolling, as shown by the overlapping calculated and measured mechanical piston movements measured by the ROTEM device.


Descriptors :   *BLOOD STORAGE , *FEASIBILITY STUDIES , *NAVAL VESSELS , BLOOD COAGULATION , BLOOD PLATELETS , BLOOD TRANSFUSION , CASUALTIES , DAMAGE CONTROL , DEPLOYMENT , EXPERIMENTAL DESIGN , HEMORRHAGE , LEUKOCYTES , MEDICAL SERVICES , MILITARY MEDICINE , NAVAL OPERATIONS , NAVAL PERSONNEL , PREPARATION , RESUSCITATION , SAFETY , TRAUMA , WOUNDS AND INJURIES


Subject Categories : Medical Facilities, Equipment and Supplies
      Military Operations, Strategy and Tactics


Distribution Statement : APPROVED FOR PUBLIC RELEASE