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Evaluation of hemostatic capacities among commando candidates: Would their blood suit a hemorrhagic war-injured patient in case of blood donation on the battlefield?
J Trauma Acute Care Surg
October 2021
From the Riflemen and Commandos Naval Force (Y.D., S.C.), French Navy, Lorient; Department of Clinical Operations (R.F., C.M.), French Military Blood Institute; Department of Laboratory Medicine, Percy Military Medical Center (C.H., V.F.), Clamart; and 1ère Chefferie du Service de Santé (S.T.), French Military Health Service, Villacoublay, France.
Background: In case of a warm fresh whole blood transfusion on the battlefield, the blood donation usually occurs just after a combat phase and often after several days on the fields. To explore the hemostatic capacity of such blood, we analyzed the blood of volunteers attending the commando course of the French Navy, considering this course as an experimental model, placing them into the same physiological conditions as those faced by deployed fighters.
Methods: Venous blood was collected at the beginning of the course, mimicking their baseline status, and a second time 6 weeks later, from the remaining candidates, during the actual commando training, mimicking the stress conditions.