{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:44:32Z","timestamp":1787510672137,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2021,7,16]],"date-time":"2021-07-16T00:00:00Z","timestamp":1626393600000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The current global pandemic has created unprecedented challenges in the blood supply network. Given the recent shortages, there must be a civilian plan for massively bleeding patients when there are no blood products on the shelf. Recognizing that the time to death in bleeding patients is less than 2\u00a0h, timely resupply from unaffected locations is not possible. One solution is to transfuse emergency untested whole blood (EUWB), similar to the extensive military experience fine\u2010tuned over the last 19\u2009years. While this concept is anathema in current civilian transfusion practice, it seems prudent to have a vetted plan in place.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Materials<\/jats:title>\n                    <jats:p>During the early stages of the 2020 global pandemic, a multidisciplinary and international group of clinicians with broad experience in transfusion medicine communicated routinely. The result is a planning document that provides both background information and a high\u2010level guide on how to emergently deliver EUWB for patients who would otherwise die of hemorrhage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Conclusions<\/jats:title>\n                    <jats:p>Similar plans have been utilized in remote locations, both on the battlefield and in civilian practice. The proposed recommendations are designed to provide high\u2010level guidance for experienced blood bankers, transfusion experts, clinicians, and health authorities. Like with all emergency preparedness, it is always better to have a well\u2010thought\u2010out and trained plan in place, rather than trying to develop a hasty plan in the midst of a disaster. We need to prevent the potential for empty shelves and bleeding patients dying for lack of blood.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/trf.16458","type":"journal-article","created":{"date-parts":[[2021,7,16]],"date-time":"2021-07-16T09:13:28Z","timestamp":1626426808000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Civilian walking blood bank emergency preparedness plan"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8312-9157","authenticated-orcid":false,"given":"John B.","family":"Holcomb","sequence":"first","affiliation":[{"name":"Center for Injury Science, Division of Acute Care Surgery University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1721-0541","authenticated-orcid":false,"given":"Philip C.","family":"Spinella","sequence":"additional","affiliation":[{"name":"Division of Critical Care, Department of Pediatrics Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8823-2719","authenticated-orcid":false,"given":"Torunn Oveland","family":"Apelseth","sequence":"additional","affiliation":[{"name":"Department of Immunology and Transfusion Medicine Haukeland University Hospital  Bergen Norway"},{"name":"Norwegian Armed Forces Medical Service  Sessvollmoen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank K.","family":"Butler","sequence":"additional","affiliation":[{"name":"Uniformed Services University  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2969-9316","authenticated-orcid":false,"given":"Jeremy W.","family":"Cannon","sequence":"additional","affiliation":[{"name":"Division of Traumatology, Surgical Critical Care &amp; Emergency Surgery Perelman School of Medicine, University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew P.","family":"Cap","sequence":"additional","affiliation":[{"name":"Uniformed Services University  Bethesda Maryland USA"},{"name":"US Army Institute of Surgical Research  San Antonio Texas USA"},{"name":"Ft Sam Houston  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason B.","family":"Corley","sequence":"additional","affiliation":[{"name":"Army Blood Program US Army Medical Command, JBSA \u2010 Fort Sam Houston  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Doughty","sequence":"additional","affiliation":[{"name":"Academic Department of Military Anaesthesia and Critical Care Royal Centre for Defence Medicine  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"Cellphire Inc.  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