Home Trauma Canadian consensus on prehospital transfusion
Trauma
Canadian consensus on prehospital transfusion
Best practices on blood and blood products for a prehospital hemorrhage protocol: consensus from the 2025 Canadian prehospital transfusion summit
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine · Added 6 June 2026
Consensus summit with 50+ experts developed 12 statements on prehospital transfusion, identifying RBCs and TXA as foundational, recommending freeze-dried plasma and whole blood for rural settings, and emphasising calcium and hypothermia prevention.
- Study type
- Guideline / statement
- Design
- Structured roundtable consensus summit
- Participants
- Over 50 experts from eight provinces and six services/systems
- Main finding
- 12 consensus statements: red blood cells and tranexamic acid foundational; freeze-dried plasma and whole blood favoured in rural/remote settings; calcium and hypothermia prevention essential
- Caveat
- Expert opinion consensus rather than direct evidence; Canadian context
- Bottom line
- Context only
Learning goal
Weigh the role of whole blood and freeze-dried plasma in remote and rural trauma transfusion.
More
- Topic: Trauma
- Daily scan: 6 June 2026
Related papers on Trauma
-
Road injury data systems highly fragmented
They audited global road injury data systems to assess coverage across the Road Injury Chain of Survival, and found extensive fragmentation with few systems linking crash, rescue, prehospital, and hospital data, severely limiting quality improvement opportunities.
-
Norwegian trauma criteria: high overtriage
They tested whether Norway's new national trauma criteria accurately predicted ISS>15 injuries and met triage goals, and found overtriage of 81.1% and undertriage of 11.5%, with mechanism of injury criteria showing very poor positive predictive value.
-
Prehospital whole blood no better than components
Multicenter randomized trial comparing prehospital type O whole blood resuscitation to standard care in trauma patients with hemorrhage.
-
Freeze-dried plasma complements whole blood
This commentary argues freeze-dried plasma complements whole blood in prehospital resuscitation, offering a scalable, shelf-stable solution for rural and remote regions with long transport times.