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FIGURE 2 CPDA-1 blood from local hospital. and damage control surgery. Our collaboration resulted in
improvement in the care of PF soldiers and increased inter-
operability among the Special Operations unit with the local
PF. Critically, by obtaining HN SWB for PF patients, the ERST
was able to maintain an appropriate level of blood products
in reserve for our primary mission. We believe that the model
described here can be adapted to work for surgical teams in
similar circumstances to enhance their capability to provide
damage control surgery and resuscitation in austere locations.

Acknowledgments
We wish to thank COL Ramey Wilson for his guidance and
leadership throughout the development of this blood program
and host nation partnership.

Author Contributions
MB spearheaded the concept of the program. MB, MF, and
KM developed the initial WBB plans/protocols. JA and JH co-
ordinated partnership with the minister of health and local
hospital administrators. MB, MF, BC, JJ, JH, CC, and KM
cowrote and edited the manuscripts.

Disclosure
The authors have no financial disclosures, funding, or con-
flicts of interest to disclose.

References
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of operational security as well as the variability in the local _Guidelines_(CPGs)/Whole_Blood_Transfusion_15_May_2018
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