Evidence map›Paper›PMID 35668435›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2022

Initial experiences of prehospital blood product transfusions between 2016 and 2020 in Päijät-Häme hospital district, Finland.

Heidi Yliharju, Timo Jama, Hilla Nordquist

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Blood transfusion - moving from what to how.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Heidi YliharjuEmergency Medical Service, Päijät-Häme Joint Authority for Health and Wellbeing, Keskussairaalankatu 7, 15850, Lahti, Finland. heidi.yliharju@phhyky.fi.ORCID http://orcid.org/0000-0002-1020-6059
Timo JamaEmergency Medical Service, Päijät-Häme Joint Authority for Health and Wellbeing, Keskussairaalankatu 7, 15850, Lahti, Finland.
Hilla NordquistDepartment of Health care and Emergency care, South-Eastern Finland University of Applied Sciences, Pääskysentie 1, 48220, Kotka, Finland.
Päijät-Hämeen Keskussairaala · FIFinland University · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreating hemorrhaging patients with prehospital blood product transfusions (PHBT) narrows transfusion delays and potentially benefits the patient. We describe our initial experiences of PHBT in a ground-based emergency medical service (EMS), where the transfusion protocol covers both traumatic and nontraumatic hemorrhaging patients.

methodsA descriptive retrospective analysis was performed on the records of all the patients receiving red blood cells, freeze-dried plasma, or both during prehospital care from September 2016 to December 2020. The delays of PHBT and the effects on patients' vital signs were analyzed and reported as the median and interquartile range (IQR) and analyzed using a Wilcoxon Signed rank test.

results65 patients received prehospital blood product transfusions (PHBT), 29 (45%) were non-traumatic, and 36 (55%) traumatic. The main two reasons for PHBT were blunt trauma (n = 30, 46%) and gastrointestinal hemorrhage (n = 20, 31%). The median time from the emergency call to the start of PHBT was 54 min (IQR 38), and the transfusion began on a median of 61 min (IQR 42) before arrival at the hospital. The median systolic blood pressure improved from a median 76.5 mmHg (IQR 36.5) before transfusion to a median of 116.60 mmHg (IQR 26.5) (p < 0.001) on arrival to the hospital. No transfusion-related severe adverse events were noted.

conclusionsStarting PHBT in ground-based EMS is a feasible and viable option. The PHBT began significantly earlier than it would have started on arrival to the hospital, and it seems to be safe and improve patients' physiology. STUDY APPROVAL: D/2603/07.01.04.05/2019.

Indexed as

Emergency Medical ServicesWounds and InjuriesBlood TransfusionFinlandHemorrhageHospitalsHumansRetrospective StudiesFreeze-dried plasmaGround-based emergency medical servicesNon-traumaPacked red blood cellsPrehospital blood product transfusionsRemote damage control resuscitationTrauma

Identifiers

PMID35668435
PMCPMC9169387
OpenAlexW4281653855

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.