Hemorrhage Control: Stop the Bleeding & Replace What is Lost

Credit

Speaker

Randall Schaefer, DNP, RN, ACNS-BC, CEN Related seminars and products

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Randall M. Schaefer, DNP, RN, ACNS-BC, CEN, (Lieutenant Colonel, US Army, Retired) served 20 years as an Emergency/Trauma Nurse, including three deployments supporting Operations Iraqi Freedom and Inherent Resolve. She played a key role in establishing Walking Blood Banks and implemented emergency blood storage policies that reduced transfusion times at Ft. Hood. After retiring in 2017, Dr. Schaefer directed the Southwest Texas Regional Advisory Council’s Combat Casualty Care Research Program, where she developed the country’s first Regional Whole Blood Program. She has presented at major conferences and is a lead author on 10 publications regarding prehospital blood use.

 

Speaker Disclosures
Financial: Randall Schaefer has an employment relationship with Schaefer Consulting, LLC. She is a consultant with 410 Medical, QinFlow, Delta Development, and TACMED Solutions. She receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Randall Schaefer has no relevant non-financial relationships.

Additional Info

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Objectives

1. Identify the impact of trauma and prehospital hemorrhage in the United States.
2. Identify 4 ways to achieve hemorrhage control.
3. Describe how massive blood transfusion is a predictor of injury mortality.
4. Describe how prehospital and hospital training & transfusion protocols have been written and implemented.
5. Discuss the benefits of a systematic approach.
6. Discuss data collection methods for prehospital and hospital process improvement and research efforts.

Outline

Scope of The Problem/Background

• Prevalence of hemorrhage in trauma deaths
• Mortality statistics in civilian/combat settings
• Bleeding mechanisms
• Challenges in intervention

Why & Where Trauma is Killing People

• Prehospital deaths: urban/rural differences
• Golden hour: impact of delays

Rethinking A-B-C

• Shift to C-A-B: hemorrhage control first
• Priority change: circulation over airway

Replacing What is Lost

• Crystalloids vs blood products
• Best fluids for trauma resuscitation

History of Low-Titer O Positive Whole Blood

• Origins and use in trauma
• Whole blood vs component therapy

Prehospital Blood Program Implementation

• Logistics and storage challenges
• Successful implementations

Regional Trauma System Case Study

• Adoption of whole blood in trauma systems
• Outcome improvements with whole blood

Key Takeaways

• Rapid hemorrhage control critical for survival
• Future innovations in hemorrhage control

Target Audience

• Nurses
• NPs
• PA
• Physicians
• EMS