{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T01:49:01Z","timestamp":1769219341284,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,12,8]],"date-time":"2020-12-08T00:00:00Z","timestamp":1607385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010873","name":"Australian and New Zealand Society of Blood Transfusion","doi-asserted-by":"publisher","award":["Research Grant 2019"],"award-info":[{"award-number":["Research Grant 2019"]}],"id":[{"id":"10.13039\/100010873","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Ambulance service blood transfusion is an area of rapid development. In New South Wales, Australia, the blood products carried by ambulance medical teams are often the first available to patients with critical bleeding. In addition to the blood products routinely carried by these teams, the Service created and implemented a method of initiating large\u2010volume, mixed\u2010product transfusions using existing blood banks: the Retrieval Transfusion Procedure (RTP). This article describes the trends and characteristics of New South Wales Ambulance RTP activations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This retrospective database review examines the patient records for all RTP activations. Key areas of investigation include logistics, product requests, population demographics, etiologies, physiology, mission timings, and transfusions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ambulance medical teams attended 27\u2009531 missions in the reviewed period, 1573 patients received transfusion, and there were 138 RTP activations. Blood products were sourced from 40 banks and transported by police (46.7%), ambulance (27.1%), and helicopter (13.0%) to refueling stops (39.2%), prehospital scenes (24.2%) and hospitals (15.8%). The median time engaged on each mission was 189\u2009minutes for metropolitan and 222\u2009minutes for rural locations. Seventy\u2010eight patients were transfused with RTP blood products; 83.3% were traumas, of which 63.1% were motor vehicle collisions. Up to 18\u2009units of blood products were administered before hospital arrival. There was significant (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) improvement in the mean shock index of transfused patients between the first and final observations recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Ambulance service extended blood product transfusion is logistically achievable and facilitates emergency transfusions throughout the state with minimal additional infrastructure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.16217","type":"journal-article","created":{"date-parts":[[2020,12,8]],"date-time":"2020-12-08T10:33:40Z","timestamp":1607423620000},"page":"730-737","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Retrieval transfusion protocol in New South Wales, Australia: A retrospective review of the first 5\u2009years"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6259-2521","authenticated-orcid":false,"given":"Sophie","family":"Shand","sequence":"first","affiliation":[{"name":"Susan Wakil School of Nursing, Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"},{"name":"Sydney Ambulance Centre NSW Ambulance  Eveleigh New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3746-0348","authenticated-orcid":false,"given":"Kate","family":"Curtis","sequence":"additional","affiliation":[{"name":"Susan Wakil School of Nursing, Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"},{"name":"Illawara Shoalhaven Local Health District  Warrawong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0086-455X","authenticated-orcid":false,"given":"Michael","family":"Dinh","sequence":"additional","affiliation":[{"name":"Royal Prince Alfred Hospital  Camperdown New South Wales Australia"},{"name":"Institute of Trauma and Injury Management  Chatswood New South Wales Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8794-0710","authenticated-orcid":false,"given":"Brian","family":"Burns","sequence":"additional","affiliation":[{"name":"Sydney Medical School, Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"},{"name":"Greater Sydney Area HEMS NSW Ambulance  Rozelle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.06.001"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182983876"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1802345"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.11.049"},{"key":"e_1_2_10_6_1","unstructured":"NSW Institute of Trauma and Injury Management. 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