Blood Bank Guy Essentials Podcast 073: Implementing Trauma Whole Blood with David Oh and Mike Goodman
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Jul 10, 2019 David Oh, Chief Medical Officer of Hoxworth Blood Center, and Mike Goodman, Associate Professor of Surgery at the University of Cincinnati, dive into the implementation of low-titer, cold-stored whole blood for trauma care. They share insights on transitioning from traditional transfusion methods to modern practices affecting patient outcomes. The duo discusses the intricacies of blood type selection, storage expiration adjustments, and the role of clinician-led committees in decision-making. They even explore future applications of trauma whole blood in other medical fields!
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Whole Blood Simplifies Trauma Resuscitation
- Whole blood gives trauma teams a single 500 mL product combining red cells, plasma, and platelets for rapid resuscitation.
- Mike Goodman says it reduces complexity and speeds hemostatic treatment.
Use Cold, Screened Whole Blood
- Hawksworth chose cold, infectious-disease screened whole blood over warm fresh walking‑bank products.
- David Oh notes testing lowers transfusion‑transmitted infection risk to about one in two million.
Prefer O-Positive To Avoid O-Neg Shortages
- Hawksworth supplies O‑positive whole blood to avoid depleting scarce O‑negative inventory.
- David Oh explains donor math makes O‑neg impractical for routine whole blood.