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Showing early effectiveness on the battlefield, LTO\u2009+\u2009WB is used in both the pre\u2010hospital and in\u2010hospital settings for traumatic and non\u2010traumatic hemorrhage resuscitation. Starting in 2018, the San Antonio Whole Blood Collaborative has worked to provide LTO\u2009+\u2009WB across Southwest Texas, initially in the form of remote damage control resuscitation followed by in\u2010hospital trauma resuscitation. This program has since expanded to include pediatric trauma resuscitation, obstetric hemorrhage, females of childbearing potential, and non\u2010traumatic hemorrhage. The objective of this manuscript is to provide a three\u2010year update on the successes and expansion of this system and outline resuscitation challenges in special populations.<\/jats:p>","DOI":"10.1111\/trf.16964","type":"journal-article","created":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T13:12:53Z","timestamp":1656076373000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["The regional whole blood program in San Antonio, <scp>TX<\/scp>: A 3<scp>\u2010year<\/scp> update on prehospital and <scp>in\u2010hospital<\/scp> transfusion practices for traumatic and n<scp>on\u2010traumatic<\/scp> hemorrhage"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9469-5031","authenticated-orcid":false,"given":"Maxwell A.","family":"Braverman","sequence":"first","affiliation":[{"name":"Department of Surgery UT Health San Antonio  San Antonio Texas 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