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Author Contributions                                3.  Langan NR,  Eckert  M, Martin MJ. Changing  patterns of  in­
          RLT conceived the study concept, designed the study, coordi­  hospital deaths following implementation of damage control re­
          nated C­145 airdrop capability, and assisted with statistical   suscitation practices in US forward military treatment facilities.
                                                                JAMA Surg. 2014;149(9):904–912.
          analysis and discussion. MM and WJB coordinated laboratory   4.  Gerhardt RT, Strandenes G, Cap AP, et al; THOR Network and
          support and assisted with data collection and analysis. WJB   RemTORN Study Groups. Remote damage control resuscitation
          coordinated blood collection and delivery. RWCF assisted with   and the Solstrand Conference: defining the need, the language,
          study design, IRB submission and approval, and coordination   and a way forward. Transfusion. 2013;53 Suppl 1:9S­16S.
          of study execution and training, and recruited subjects. EKS   5.  Krook C, O’Dochartaigh D, Martin D, et al. Blood on board:
          and WDS assisted with study execution, recruited subjects, and   the development of a prehospital blood transfusion program in a
                                                                Canadian helicopter emergency medical service. CJEM. 2019;21
          conducted related training, as well as collection and analysis   (3):365–373.
          of the data. EKS, WDS, MM, and RWCF all performed back­  6.  Tong RL, Bohlke CW, Clemente Fuentes RW, Moncada M,
          ground literature searches. EKS consolidated the collected data.   Schloe AD, Ashley RL. Operation Blood Rain: the effect of air­
          WDS coordinated C­130 airdrop capability and military air­  drop on fresh whole blood. J Spec Oper Med. 2021;21(2):29–33..
          drop waivers. CWB conceived the study concept, coordinated   7.  Cap AP, Beckett A, Benov, A, et al. Joint Trauma System Clinical
          airdrop capability, recruited subjects, and conducted related   Practice Guideline (JTS CPG). Whole Blood Transfusion (CPG
                                                                ID:21). 18 May 2018.
          training. ALM coordinated command authorization, team net­  8.  Association for the Advancement of Blood and Biotherapies. Cir-
          working, and write­up. All authors assisted in conducting the   cular of Information for the Use of Human Blood and Blood-
          study and read and approved the final manuscript.     Components.  October 2017  https://www.aabb.org/docs/default
                                                                ­source/default­document­library/resources/circular­of­information
          Disclaimer                                            ­10­17.pdf?sfvrsn=7d348f7b_0.
          The views expressed in this article are those of the authors and   9.  Lacroix J, Tucci M. Clinical impact of length of storage before red
                                                                cell transfusion. [French] Transfus Clin Biol. 2011;18(2):97–105.
          do not necessarily reflect the official policy or position of the   10.  Samuel O. Sowemimo-Coker. Red blood cell  hemolysis during
          Department of the Air Force, Department of Defense or the   processing. Transfusion Med Rev. 2002;16(1):46–60.
          U.S. Government.                                   11.  Hess JR. Conventional  blood banking and blood component
                                                                storage regulation: opportunities for improvement. Blood Trans-
          Conflict of Interest Statement                        fus. 2010;8(Suppl 3):s9­s15.
          There are no known conflicts of interest for any of the authors.  12.  Bailey DN, Bove JR. Chemical and hematological changes in
                                                                stored CPD blood. Transfusion. 1975;15(3):244–249.
                                                             13.  Opoku-Okrah C, Acquah BKS, Dogbe EE. Changes in potas­
          References                                            sium and sodium concentrations in stored blood. Pan Afr Med
          1.  Vitalis V, Carfantan C, Montcriol A, et al. Early transfusion on   J. 2015;12;20:236.
            battlefield before admission to role 2: a preliminary observational   14.  Antwi-Baffour S, Adjei JK, Tsyawo F, Kyeremeh R, Botchway
            study during “Barkhane” operation in Sahel. Injury. 2018;49(5):   FA, Seidu MA. A study of the change in sodium and potassium
            903–910.                                            ion concentrations in stored donor blood and their effect on elec­
          2.  David J-S, Wey P-F, Peyrefitte S. Prehospital blood product transfu­  trolyte balance of recipients. Biomed Res Int. 2019 Sep 29;2019:
            sion and combat injury survival. JAMA. 2018;319(11):1166–1167.  8162975.











































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