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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.

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