The World’s Okayest Medic Podcast Drs. Mark Piehl & Peter Antevy: Peds Trauma, Blood, and Much More
Nov 18, 2025
In this discussion, Dr. Peter Antevy, an expert in pre-hospital resuscitation, and Dr. Mark Piehl, specialized in pediatric trauma, delve into critical topics in pediatric emergency care. They reveal that pre-hospital blood transfusions can significantly lower trauma mortality in children, emphasizing evidence from recent studies. They also debate the pros and cons of whole blood versus component therapy and tackle concerns about transfusion safety. Their insights encourage EMS clinicians to challenge existing protocols based on emerging data.
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Early Blood Saves Bleeding Children
- Prehospital pediatric transfusion data show safety and mortality benefit for hemorrhaging children.
- Early hemostatic resuscitation with whole blood appears superior to delayed in-hospital transfusion.
Give Blood Without Delay
- Treat hypotensive, hemorrhaging children with blood immediately rather than delaying to hospital.
- Push resuscitation into the field to prevent rapid decompensation and death.
Emerging Evidence Favors Whole Blood
- Multiple recent studies associate prehospital transfusion and whole blood with lower mortality and more unexpected survivors.
- Early whole blood is cost-effective and life-saving according to emerging analyses.