U.S. cities will not meet blood product resuscitation standards during major mass casualty incidents: Results of a THOR‐AABB working party prospective analysis

Background Mass casualty incidents (MCIs) create an immediate surge in blood product demand. We hypothesize local inventories in major U.S. cities would not meet this demand. Study Design and Methods A simulated blast in a large crowd estimated casualty numbers. Ideal resuscitation was defined as eq...

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Published in:Transfusion (Philadelphia, Pa.) Pa.), 2022-08, Vol.62 (S1), p.S12-S21
Main Authors: Cannon, Jeremy W., Igra, Noah M., Borge, P. Dayand, Cap, Andrew P., Devine, Dana, Doughty, Heidi, Geng, Zhi, Guzman, Jessica F., Ness, Paul M., Jenkins, Donald H., Rajbhandary, Srijana, Schmulevich, Daniela, Stubbs, James R., Wiebe, Douglas J., Yazer, Mark H., Spinella, Philip C.
Format: Article
Language:English
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Summary:Background Mass casualty incidents (MCIs) create an immediate surge in blood product demand. We hypothesize local inventories in major U.S. cities would not meet this demand. Study Design and Methods A simulated blast in a large crowd estimated casualty numbers. Ideal resuscitation was defined as equal amounts of red blood cells (RBCs), plasma, platelets, and cryoprecipitate. Inventory was prospectively collected from six major U.S. cities at six time points between January and July 2019. City‐wide blood inventories were classified as READY (>1 U/injured survivor), DEFICIENT (
ISSN:0041-1132
1537-2995
DOI:10.1111/trf.16960