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3414272820210722202107221537-29956162021JunTransfusionTransfusionWould you like another pretzel? Water? We make progress in donor reactions.166516681665-166810.1111/trf.16442RossmannSusan NSNGulf Coast Regional Blood Center, Houston, Texas, United States.HartwellBeth ABAGulf Coast Regional Blood Center, Houston, Texas, United States.Department of Pathology & Immunology, Baylor College of Medicine, Houston, Texas, United States.engEditorialUnited StatesTransfusion04173600041-1132IMBlood DonorsBlood TransfusionDrinkingHumansSyncope, Vasovagaletiologyprevention & controltherapy2021532021532021618844202161960202172360ppublish3414272810.1111/trf.16442REFERENCESGoldman M, Uzicanin S, Marquis-Boyle L, O'Brien SF. Implementation of measures to reduce vasovagal reactions: donor participation and results. Transfusion. 2021. https://doi.org/10.1111/trf.16375.Newman BH, Newman DT, Ahmad R, Roth AJ. The effect of whole-blood donor adverse events on blood donor return rates. 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Physiologic strategies to prevent fainting responses during or after whole blood donation. Transfusion. 2011;51:2727-38.Thijsen A, Masser B, Davison TE. Reduced risk of vasovagal reactions in Australian whole blood donors after national implementation of applied muscle tension and water loading. Transfusion. 2020;60:918-21.Thijsen A, Masser B. Vasovagal reactions in blood donors: risks, prevention and management. Transfus Med. 2019;29(Suppl 1):13-22.Thijsen A, Gemelli CN, Davison TE, O'Donovan J, Bell B, Masser B. Does using applied muscle tension at strategic time points during donation reduce phlebotomist- and donor-reported vasovagal reaction rates? A three-armed randomized controlled trial. Transfusion. 2018;58:2352-9.Morand C, Coudurier N, Rolland C, Thoret S, Legrand D, Tiberghien P, et al. Prevention of syncopal-type reactions after whole blood donation: a cluster-randomized trial assessing hydration and muscle tension exercise. Transfusion. 2016;56:2412-21.Mennitto S, Harrison J, Ritz T, Robillard P, France CR, Ditto B. Respiration and applied tension strategies to reduce vasovagal reactions to blood donation: a randomized controlled trial. Transfusion. 2019;59:566-73.Ditto B, France CR, Holly C. Applied tension may help retain donors who are ambivalent about needles. Vox Sang. 2010;98:e225-30.France CR, France JL, Kowalsky JM, Cornett TL. Education in donation coping strategies encourages individuals to give blood: further evaluation of a donor recruitment brochure. Transfusion. 2010;50:85-91.France CR, France JL, Carlson BW, Himawan LK, Stephens KY, Frame-Brown TA, et al. Fear of blood draws, vasovagal reactions, and retention among high school donors. Transfusion. 2014;54:918-24.France CR, France JL, Kowalsky JM, Ellis GD, Copley DM, Geneser A, et al. Assessment of donor fear enhances prediction of presyncopal symptoms among volunteer blood donors. Transfusion. 2012;52:375-80.Wiersum-Osselton JC, Marijt-van der Kreek T, Brand A, Veldhuizen I, van der Bom JG, de Kort W. Risk factors for complications in donors at first and repeat whole blood donation: a cohort study with assessment of the impact on donor return. Blood Transfus. 2014;12 (Suppl 1):s28-36.trying2...