Training video for warm, fresh, whole blood transfusion procedures

Follow along as the legendary Dr. Andrew Fisher, former Ranger medic, Ranger PA, and now surgeon performs an autologous blood transfusion on me to learn the skills needed for a fresh whole blood transfusion. He helped pioneer this technique used by the 75th Ranger Regiment.
(Thanks to CDMRP/USAMRDC for funding this project. Also, thanks to the MEDCoE MEDVid TV team for the professional video recording/editing.)
#trauma #injury #hospital #emergency #emergencymedicine #research #science #army #navy #airforce #marines #medic #combat #combatmedic #corpsman #deployment #war #prehospital #ems

[@kat_________________]

The patient scanned my criminal history, social security, and medical records with that look.

[@graveyardcharm]

I laughed so hard at this, thank you lmfao

[@Jorreyl]

😂

[@onlyn8iv237]

As much as I love this video and how informative it is, the man just staring at me is hilarious.

[@Mostlethal]

Right... He looks worried.

[@richbattaglia5350]

It’s amazing how many details are packed into this process. Your video has given me insight into the level of precision medical professionals diligently need to successfully treat patients.

[@Mostlethal]

Dude... the look on your patient

[@mediclimber]

Vary interestingly. I understand several ALS services in Texas are now able to perform prehospital blood administration. I was a Paramedic for 37 years. I'm no longer running but I still try to keep current on skills and such.

[@chocolatemanist]

Had me laughing cause I didn’t think they’d return it 5 mins later, thanks for the video

[@ahole5407]

No mention of the temperature of the blood. I understand the training that comes with heaters for carrying blood in the field. Second, it seems as though you had a lot of air in that line before beginning the infusion. High level training should include reiterating the basics to be considered comprehensive. I understand that you have years of experience and it seems you have your own approach to operating standards and procedures but it may be beneficial to put your own ideas behind those that have to build upon their own responsibilities. Thank you Major.

[@TheShredillac]

Ahh St. Fisher, Patron Saint of EBM

[@daveb3910]

Very cool, I'm in civ side but really cool to see what techniques are able to be performed when necessary. Really appreciate you all sharing thanks!

[@김구글-x5s]

Lovely

[@RS-dg7el]

Thank you for this refresher class.

[@Spiralavatar]

Very informative! I’m writing something that involves a blood transfusion in field and this has been massively helpful! Did find it funny that his blood went on a little vacation😂

[@htenorio92]

They didn’t mention it, but remember to give calcium after the first unit, due to the citrate in the bag

[@phyzzko]

I was wondering why you didnt run the blood from the line into the bag prior to tying the knots as some have previously taught. You mentioned that now its probably best to just tie the knots and cut. Is this just due to no clinical significance, time/complication, or additional steps that just are not required? Also, Thank you so much for making this video, it will be a required watch for my medics

[@armyemdoc]

Extra steps and the line does not have anticoagulant so if you let it sit too long it'll clot

[@igohardyesme]

New combat medic here is there a reason for no calcium we’ve been told that you need it or is this just a new thing compared to when this video was released?

[@daltonater1212]

Incredible material. Which FM/resources can we use that covers this procedure?

[@armyemdoc]

No doctrinal documents. We will have training materials soon as well.

[@daltonater1212]

@@armyemdoc Shame. Would really like to read into the literature behind this. I swear the Army has to have some sort of policies and procedures behind the whole blood program.

[@armyemdoc]

@@daltonater1212 There are policies and procedures on this. SOF units have been doing this prehospital for years.

[@phyzzko]

@@armyemdoc Where will these be posted?

[@armyemdoc]

@@phyzzko Once I them finalized and cleared through PAO, I will post online

[@MustafaMu-xg5se]

Remove the tourniquet 😐