open access

Vol 67, No 2 (2016)
MARITIME MEDICINE Review article
Published online: 2016-06-28
Submitted: 2016-04-04
Accepted: 2016-05-30
Get Citation

Bleeding management in remote environment: the use of fresh whole blood transfusion and lyophilised plasma

Bruno Sicard, Frédéric Marouzé, Céline Roche, Mathieu Carron, Sylvain Ausset, Anne Sailliol
DOI: 10.5603/IMH.2016.0016
·
Pubmed: 27364172
·
International Maritime Health 2016;67(2):79-82.

open access

Vol 67, No 2 (2016)
MARITIME MEDICINE Review article
Published online: 2016-06-28
Submitted: 2016-04-04
Accepted: 2016-05-30

Abstract

To mitigate medical risks in remote environments, the authors have implemented an innovative integrated medical support solution for bleeding management on board ships since 2013. Fresh whole blood transfusion (FWBT) and lyophilised plasma were put in place to address life threatening haemorrhages in maritime operations in the Arctic and Antarctica. The authors are illustrating the bleeding risks with an actual case occurring in Antarctica prior to the implementation of these procedures. They are presenting the different steps involved in the complex process of FWBT, from blood donors’ qualifications to actual transfusions. The pros and cons of blood transfusion in extreme remote environment are discussed, including the training of health care professionals, equipment requirements, legal and ethical issues, decision making in complex blood group matching, medical benefits and risks.  

Abstract

To mitigate medical risks in remote environments, the authors have implemented an innovative integrated medical support solution for bleeding management on board ships since 2013. Fresh whole blood transfusion (FWBT) and lyophilised plasma were put in place to address life threatening haemorrhages in maritime operations in the Arctic and Antarctica. The authors are illustrating the bleeding risks with an actual case occurring in Antarctica prior to the implementation of these procedures. They are presenting the different steps involved in the complex process of FWBT, from blood donors’ qualifications to actual transfusions. The pros and cons of blood transfusion in extreme remote environment are discussed, including the training of health care professionals, equipment requirements, legal and ethical issues, decision making in complex blood group matching, medical benefits and risks.  

Get Citation

Keywords

remote medicine, bleeding management, transfusion, plasma

About this article
Title

Bleeding management in remote environment: the use of fresh whole blood transfusion and lyophilised plasma

Journal

International Maritime Health

Issue

Vol 67, No 2 (2016)

Pages

79-82

Published online

2016-06-28

DOI

10.5603/IMH.2016.0016

Pubmed

27364172

Bibliographic record

International Maritime Health 2016;67(2):79-82.

Keywords

remote medicine
bleeding management
transfusion
plasma

Authors

Bruno Sicard
Frédéric Marouzé
Céline Roche
Mathieu Carron
Sylvain Ausset
Anne Sailliol

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