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HART paramedics delivering lyophilised plasma
Service evaluation of pre-hospital lyophilised plasma delivery by a hazardous area response team: the HART PLAsMa project
British Paramedic Journal · 2026-09-01 · Added 29 August 2026
UK service evaluation of hazardous area response team paramedics delivering lyophilised plasma under a major haemorrhage protocol — 17 patients received 30 units over 12 months with full protocol authorisation, low wastage (3.1%) and no safety incidents.
- Study type
- Other
- Design
- Prospective service evaluation
- Participants
- 61 trained HART paramedics; 20 major haemorrhage protocol activations, 17 patients transfused
- Main finding
- 30 units delivered; authorisation sought in 100% of cases, appropriate indications in 94%, correct dosing in 88%, calcium chloride compliance 81%, wastage 3.1%, no transfusion reactions.
- Caveat
- Small numbers and a single service over 12 months — process measures rather than patient outcomes.
- Bottom line
- Context only
Why it matters in Australia (Medium relevance). Prehospital blood is limited to a handful of Australian services, so this informs the debate more than current practice; the hazardous-area delivery niche has no direct Australian equivalent.
Learning goal
Strengthen my judgement on when early prehospital plasma transfusion benefits major haemorrhage patients in remote settings.
More
- Topic: Trauma
- Daily scan: 29 August 2026
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