ReviewConflict and health2025
Prehospital blood for the injured in conflict zones: what about civilians? - a scoping review.
Review in Conflict and health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
Who cites it
2 citing papers in PubMed.
- Trauma stabilization points in armed conflict: operational evolution and strategic reflections from mosul to Gaza.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Trauma Systems in Conflict Zones: A Qualitative Study of Field Operational Requirements in Humanitarian Care.World journal of surgery · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHemorrhage is the leading cause of preventable death in trauma patients. Prehospital transfusion (PHT) has been proposed to reduce mortality; however, its effectiveness for civilians in a military conflict zone remains uncertain due to logistical and resource constraints. While PHT is endorsed in military contexts, its routine implementation for civilian trauma care during conflicts is still debated. This study aims to explore the challenges, benefits, and limitations of PHT in civilian conflict settings based on available literature.
methodsA scoping review was conducted using PubMed, Web of Science, and Google Scholar. Peer-reviewed searches were conducted from January to February 2023, with an update in May 2024. Gray literature was reviewed in June, September, and October 2023. Studies published in English with full-text access that addressed the research question were included. Data on study design, interventions, comparisons, and outcomes were narratively synthesized.
resultsSix relevant studies were identified and analyzed. Findings revealed variability in PHT practices, shaped by injury severity, transfusion protocols, and evacuation logistics. While PHT may offer benefits in settings with prolonged evacuation times, current evidence is inconsistent, limiting its routine recommendation for civilian conflict settings. Key barriers include limited resources, deviations from clinical guidelines, and challenges in blood product access and storage.
conclusionOptimizing trauma care in civilian conflict zones requires strengthening hemorrhage control, rapid evacuation, and adaptable, context-appropriate guidelines. PHT may offer benefits in select situations, current evidence does not support its routine use. Future research should identify feasible, scalable strategies tailored to the unique logistical, ethical, and resource challenges in these settings.
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Registered trials
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.