A comparative analysis of current out-of-hospital transfusion protocols to expert recommendations

Dion, Pierre-Marc, Greene, Adam, Beckett, Andrew, von Vopelius-Feldt, Johannes and Nolan, Brodie 2023. A comparative analysis of current out-of-hospital transfusion protocols to expert recommendations. Resuscitation Plus 16 , 100498. 10.1016/j.resplu.2023.100498

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Abstract

Aim This study aimed to compare current out-of-hospital transfusion (OHT) protocols in Canadian civilian critical care transport organizations (CCTO) to expert recommendations and explore the variability and potential benefits of standardizing OHT practices across Canada. Methods A comprehensive cross-sectional study was conducted, encompassing all seven Canadian CCTOs that provide OHT. The study assessed adherence to expert recommendations and examined specific aspects of the transfusion process, such as indications for transfusion and cessation criteria. Results The study found an 89% adherence to expert recommendations for OHT among Canadian CCTOs. It highlighted a strong alignment between current practices and recommendations, possibly attributed to collaborative frameworks like the CAN-PATT network. However, notable variability and ambiguity were observed in transfusion indications and cessation criteria. The study also emphasized the potential benefits of standardizing OHT practices, such as improved policy formulation, better interpretation of emerging literature, and evaluation of OHT efficacy. Conclusion This cross-sectional study assessed how Canadian CCTOs implement OHT practices compared to expert-recommended practices. The findings underscore the importance of structured protocols in trauma management. Given the consistency in OHT protocol adoption and the comprehensive approach across CCTOs, there's a solid foundation for managing trauma patients in prehospital and transport settings across Canada. As OHT practices continue to evolve, sustained efforts are vital to refine, adapt, and elevate patient care standards in trauma management.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	Elsevier
ISSN:	2666-5204
Date of First Compliant Deposit:	4 March 2024
Date of Acceptance:	27 October 2023
Last Modified:	12 Mar 2024 16:22
URI:	https://orca.cardiff.ac.uk/id/eprint/166803

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