Prehospital transfusion of labile blood product using intraosseous perfusion with multi-lumen extender: Why not?

Background: French prehospital military medical teams are provided with labile blood products to effectively address hemorrhagic shock. In combat environment, standard good medical practice may limit efficacy of therapeutic goals regarding damage control resuscitation.

Study Design And Methods: We present here a case report describing the management of a soldier heavily wounded during a helicopter forward medical evacuation in Sahel region.

First transfusion of cold-stored low-titer group O whole blood in the French armed forces.

Background: Hemorrhage is the most frequent cause of preventable death in the combat setting. Therefore, early transfusion can improve survival of combat casualties. In the case of hemorrhagic shock, massive transfusion must be performed immediately with high transfusion ratios (i.