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Podcast: Pre-Hospital Care Podcast
Episode: Blood Administration in Haemorrhagic shock within EMS systems
Description: This episode continues our series on traumatic bleeding, focusing on the use of blood transfusions in prehospital settings. While blood transfusions are life-saving for haemorrhagic shock, evidence on prehospital blood use is mixed. Civilian and military studies show improved outcomes with prehospital blood, but the 2022 RePHILL trial found no superiority over sodium chloride for trauma-related hemorrhagic shock - https://www.thebottomline.org.uk/summaries/icm/rephill/. Despite this, haemostatic resuscitation has evolved to be the standard care for bleeding-induced shock in the UK. Currently, only physicians in HEMS systems can administer prehospital blood under UK paramedic guidelines, with paramedics...