By Bill Carey
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WASHINGTON 鈥� In April, D.C. Fire and EMS launched its Whole Blood Program, enabling patients to receive blood before reaching the hospital, with trauma doctors noting its impact on survival.
George Washington University Hospital Chief of Trauma Surgery Dr. Babak Sarani said patients with severe blood loss often didn鈥檛 survive long after reaching the hospital before infield transfusions were available, reported.
鈥淭he Whole Blood Program has bought them 20-30 minutes of life, which is key for that transport in the ambulance,鈥� Sarani said. 鈥淧atients would show up with essentially nothing left and they would just die.鈥�
Sarani recalled a young man shot in the chest in Southeast D.C. Despite paramedic鈥檚 efforts, including IV fluids and a chest needle, the patient repeatedly said, 鈥淚 can鈥檛 breathe,鈥� and died before reaching the hospital.
鈥淭he Whole Blood Program would have saved that guy鈥檚 life, and that鈥檚 the most clear example of what I can give you,鈥� Sarani said. 鈥淲hat he ran out of was time. What the Whole Blood Program buys you is time.鈥�
D.C. Fire and EMS Capt. Derek McMahan praised the program, saying, 鈥淚t has bought them more time in the field, us more time in the field, and potentially expanded the possibility of surgery. Previously, it wasn鈥檛 a possibility.鈥�
Sarani noted D.C. is fortunate to have an EMS service 鈥渁ggressive with the program,鈥� unlike some areas where transfusions, especially for young women, are avoided due to potential pregnancy risks. In D.C., those transfusions are done.
