Page 134 - JSOM Fall 2025

Special Operations Medical Association Training,

Education & Scientific Assembly 2025

Recognized Research Track Abstracts

approaches to transfusion will be needed. The novel option of
BEST OVERALL PRESENTATION
harvesting blood from recently deceased cadaveric donors has
Postmortem Blood Harvesting for Cadaveric Transfusion in been theorized, but its feasibility in practice remains poorly un-
Large-Scale Combat Operations: Feasibility and Challenges derstood. This study utilizes a pilot porcine model to evaluate
in a Porcine Model the feasibility of harvesting postmortem blood while analyzing
its fibrinolytic timeline and physiological characteristics.
BEST CORPSMAN/MEDIC PRESENTATION Methods
Dimensions of a Ruler to Measure and Mark Donor Blood Using a porcine model (n=2), subjects underwent a simulated
Bags to Reliably Fill to 450mL trauma-induced 25% volume-controlled hemorrhage and 90
minutes of renal ischemia-reperfusion using resuscitative en-
Honorable Mentions dovascular balloon occlusion of the aorta (REBOA), followed
1. Comparative Analysis of Flow Rates in Peripheral Catheter by 6 hours of critical care prior to euthanasia. The primary
Devices: Implications for Emergency Fluid Resuscitation endpoint was the feasibility of postmortem blood collection at
2. To Warm or Not to Warm in a Fast Pace Prehospital Blood 0, 30, 60, and 90-minutes. The secondary endpoint included
Resuscitation Program: That is the Question analyses of the fibrinolytic timeline on rotational thromboelas-
3. Mortality and Organ Failure Associated with Derange- tometry (ROTEM) and metabolites using blood gas analysis
ments in Serum Calcium Following Severe Traumatic Injury and compared to baseline samples.
4. Preserving the Fighting Force: An Early Mobilization Pro-
tocol for Faster Chest Tube Discontinuation and Return to Results
Duty in Simple Traumatic Hemothorax and Pneumothorax
5. Prospective Observational Pilot of a Head Mounted High Blood was harvested at all time points, with intact coagulation
Resolution Camera for Civilian Operational Telemedicine profiles and metabolic profiles at 0 minutes comparable to
6. Hypocalcemia in Trauma: Evaluation of Patient Character- baseline. By 30 minutes, significant clot burden reduced sam-
istics for the Consideration of Pre-Hospital Empiric Cal- ple quality. Auto-fibrinolysis at 45 minutes in one subject en-
cium Supplementation abled continued sampling, while the second subject remained
clotted. The same subject at 90 minutes demonstrated stable
liquefaction (EXTEM CT: 96s, CFT: 417s MCF: 33mm), with
BEST CASE REPORT hemoconcentration (tHb: 22.2g/dL) and acidosis (pH: 6.79).
Acute Aortic Dissection in a Paratrooper Following Discussion
Airborne Operation: A Case Report
Cadaveric transfusion is a historically well-defined interven-
tion particularly in settings with limited access to live donors.
BEST OVERALL PRESENTATION This study encountered challenges including clot burden at 30
minutes and variability in fibrinolysis, with liquefaction allow-
Postmortem Blood Harvesting for Cadaveric Transfusion in
Large-Scale Combat Operations: Feasibility and Challenges ing continued sampling in one subject. Blood gas and ROTEM
in a Porcine Model analyses revealed expected acidosis, hemoconcentration, and
clot degradation.
1
2
Meredith Lackie, LT, MC, USN ; Jonathan Wang ; Mason H.
2
2
2
Remondelli ; Kyle Patterson, MD ; John Mares, MPH ; John Conclusion
Green, MD ; Woo Do, MD ; Rex Atwood, MD ; Ian Stew-
2
2
2
2
art, MD ; David Burmeister, PhD ; Eric Elster, MD ; Matthew This study demonstrates the feasibility of postmortem blood
2
2
Bradley, CAPT, MC, USN ; Patrick Walker, MAJ, MC, USA 2 harvesting in a porcine trauma model, providing a foundation
2
for optimizing cadaveric transfusion in combat and austere
1 Walter Reed National Military Medical Center, Bethesda, MD settings.
2 Uniformed Services University, Bethesda, MD
Introduction BEST CORPSMAN/MEDIC PRESENTATION
Current tenets of transfusion medicine will be challenged in Dimensions of a Ruler to Measure and Mark Donor Blood
large-scale combat operations (LSCOs), where alternative Bags to Reliably Fill to 450mL
132