Prehospital Whole Blood Transfusion Programs in Norway
Background: Prehospital management of severe hemorrhage has evolved significantly in Norwegian medical emergency services in the last 10 years. Treatment algorithms for severe bleeding were previously focused on restoration of the blood volume by administration of crystalloids and colloids, but now the national trauma system guidelines recommend early balanced transfusion therapy according to remote damage control resuscitation principles. Materials and Methods: This survey describes the implementation, utilization, and experience of the use of low titer group O whole blood (LTOWB) and blood components in air ambulance services in Norway. Medical directors from all air ambulance bases in Norway as well as the blood banks that support LTOWB were invited to participate. Results: Medical directors from all 13 helicopter emergency medical services (HEMS) bases, the 7 search and rescue (SAR) helicopter bases, and the 4 blood banks that support HEMS with LTOWB responded to the survey. All HEMS and SAR helicopter services carry LTOWB or blood components. Four of 20 (20%) HEMS bases have implemented LTOWB. A majority of services (18/20, 90%) have a preference for LTOWB, primarily because LTOWB enables early balanced transfusion and has logistical benefits in time-critical emergencies and during prolonged evacuations. Conclusion: HEMS services and blood banks report favorable experiences in the implementation and utilization of LTOWB. Prehospital balanced blood transfusion using whole blood is feasible in Norway.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Prehospital Whole Blood Transfusion Programs in Norway ; volume:48 ; number:6 ; year:2021 ; pages:324-331 ; extent:8
Transfusion medicine and hemotherapy ; 48, Heft 6 (2021), 324-331 (gesamt 8)
- Creator
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Bjerkvig, Christopher Kalhagen
Strandenes, Geir
Hervig, Tor
Sunde, Geir Arne
Apelseth, Torunn Oveland
- DOI
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10.1159/000519676
- URN
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urn:nbn:de:101:1-2021121523174871862621
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:29 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Bjerkvig, Christopher Kalhagen
- Strandenes, Geir
- Hervig, Tor
- Sunde, Geir Arne
- Apelseth, Torunn Oveland
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Pre-hospital intra-osseous freeze dried plasma transfusion: a case report
Association between whole blood transfusion and mortality
Prehospital predictors of the need for transfusion in patients with major trauma
Prediction of pre-hospital blood transfusion in trauma patients based on scoring systems
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Mortality of civilian patients with suspected traumatic haemorrhage receiving pre-hospital transfusion of packed red blood cells compared to pre-hospital crystalloid
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Prehospital Plasma Transfusion: What Does the Literature Show?
Pre-hospital blood transfusion – an ESA survey of European practice
Pre-hospital intra-osseous freeze dried plasma transfusion: a case report
Association between whole blood transfusion and mortality
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Prediction of pre-hospital blood transfusion in trauma patients based on scoring systems
Pre-hospital plasma transfusion: a valuable coagulation support or an expensive fluid therapy?
Pre-hospital plasma transfusion: a valuable coagulation support or an expensive fluid therapy?
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