{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:47:07Z","timestamp":1791499627865,"version":"4.3.4"},"reference-count":14,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T00:00:00Z","timestamp":1746835200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hemorrhage is a leading cause of preventable deaths in combat settings, requiring rapid blood transfusion to improve survival. While the feasibility of drone\u2010assisted medical logistics has been explored, its practical application in battlefield transfusion remains unreported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design and Methods<\/jats:title>\n                    <jats:p>This case report describes the first documented massive transfusion in a combat environment using an autonomous unmanned aerial vehicle (UAV). A 27\u2010year\u2010old soldier sustained severe lower limb injuries from an improvised explosive device explosion and developed hemorrhagic shock in a remote battlefield location where adverse weather conditions prevented immediate evacuation. In response, 6 units of whole blood and 2 units of fresh frozen plasma were transported via UAV, enabling prehospital transfusion under telemedicine supervision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The UAV successfully delivered blood products on two consecutive flights, ensuring early resuscitation and stabilization despite delayed evacuation. The casualty's vital signs improved post\u2010transfusion, and surgical interventions were successfully performed following hospital admission. This case demonstrates the feasibility of drone\u2010assisted blood product transport in prolonged field care scenarios.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>To our knowledge, this is the first reported case of a combat casualty receiving a UAV\u2010facilitated massive transfusion in an operational setting. While UAV\u2010based medical logistics offers a rapid and reliable alternative for remote trauma care, challenges remain in regulatory implementation, blood product stability, and integration into standardized protocols. Further controlled studies are needed to optimize UAV\u2010assisted transfusion strategies and their potential expansion into civilian and disaster response settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/trf.18279","type":"journal-article","created":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T03:54:47Z","timestamp":1746849287000},"page":"1373-1376","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Massive transfusion on the combat field using autonomous drones: A case report"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5777-7545","authenticated-orcid":false,"given":"Baki","family":"T\u00fcrko\u011flu","sequence":"first","affiliation":[{"name":"Department of General Surgery University of Health Sciences Gulhane Training and Research Hospital  Ankara T\u00fcrkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa Girayhan","family":"\u00dcnl\u00fc","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Health Sciences Gulhane Training and Research Hospital  Ankara T\u00fcrkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"\u00c7amur","sequence":"additional","affiliation":[{"name":"TTGO Medical Technologies Development Office Biomedical Informatics Company  Ankara T\u00fcrkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Ka\u011fan","family":"Co\u015fkun","sequence":"additional","affiliation":[{"name":"Department of General Surgery University of Health Sciences Gulhane Training and Research Hospital  Ankara T\u00fcrkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aytekin","family":"\u00dcnl\u00fc","sequence":"additional","affiliation":[{"name":"Department of General Surgery University of Health Sciences Gulhane Training and Research Hospital  Ankara T\u00fcrkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,10]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182755dcc"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-019-04329-7"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2019.5085"},{"issue":"2","key":"e_1_2_7_5_1","first-page":"17","article-title":"Mortality outcomes in trauma patients undergoing prehospital red blood cell transfusion: a systematic literature review","volume":"7","author":"Huang GS","year":"2017","journal-title":"Int J Burns 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