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Consensus criteria for paediatric prehospital transfusion
Consensus Guidelines for Prehospital Transfusion in Children: A Modified Delphi Study
Prehospital Emergency Care · Added 12 September 2026
Modified Delphi consensus guidelines for prehospital blood transfusion in children — abstract not yet available (ahead-of-print).
- Study type
- Guideline / statement
- Design
- Modified Delphi consensus study
- Participants
- 20 multidisciplinary experts; 208 candidate items, 35 recommendations over six voting rounds
- Main finding
- Consensus paediatric prehospital transfusion criteria: severe haemorrhage plus at least one shock indicator after first-line haemorrhage control, plus EMS clinical judgement; no consensus on EtCO2 as an indication
- Caveat
- Expert consensus with limited paediatric-specific evidence; prospective validation needed
- Bottom line
- Hypothesis-generating
Why it matters in Australia (Low relevance). No abstract yet, and blood products aren't in the extracted ACTAS formulary — would need a guideline change to adopt; worth noting QAS and other services run prehospital blood programs.
Learning goal
Update my judgement on when paediatric major haemorrhage warrants prehospital blood transfusion after first-line haemorrhage control.
More
- Topic: Trauma
- Daily scan: 12 September 2026
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