Page 117 - ATP-P 11th Ed

Blood trip scale made from a balance beam SECTION 1
scale with improvised counterweight

(Photo courtesy LTC Shawn C. Nessen, MD)

Make no attempt to bank blood. Collected blood should be transfused imme-
diately, and must be used within 24 hours. Unused blood may be reinfused into the
donor, but must be discarded after 24 hours. Do not attempt to reinfuse unused blood
into the donor unless the collection bag has been completely filled or it may lead to ci-
trate toxicity. DO NOT RE-INFUSE BLOOD INTO THE DONOR IF YOU ARE
IN DOUBT ABOUT THE IDENTITY OF THE DONOR. THE DONOR MUST
SIGN THE BAG UPON COLLECTION AND YOU AND THE DONOR MUST
CONFIRM THE SIGNATURE PRIOR TO RE-INFUSION. IF ANY DOUBT
WHATSOEVER EXISTS, DISCARD THE COLLECTED BLOOD!
8. In extremis you may transfuse an incoplementtely filled bag by one of two methods.
Method #1 (preferred)—Fill the remainder of the collection bag with compatible fluid
like Plasma-Lyte A pH 7.4 or Normal Saline until the collection bag is properly filled.
Method #2-Infuse the bag slowly to avoid citrate toxicity.
9. If necessary, confirm blood types using the EldonCard blood typing kit. Unless
®
you have recent laboratory confirmation of blood group/type, confirmation using an
®
EldonCard is HIGHLY recommended.
a. Once you have found a suitable donor and initiated a blood collection, confirm the
donor and recipient blood types with an EldonCard blood typing kit.
®
®
b. Perform blood typing with an EldonCard blood typing kit in accordance with the
manufacturer’s instructions.
10. If you are performing a WB transfusion and there is any doubt about the ABO typing,
consider performing a whole blood cross-match test if possible.
106 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 107