نشریه علمی پژوهشی طب انتظامی Journal of Police Medicine
Volume 14, Issue 1 (2025)
J Police Med 2025, 14(1) |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Aghdam H. Evolution of Hemostatic Resuscitation Strategies: The Role of Whole Blood and Strategic Pre-screening in Military and Mass Casualty Operations. , J Police Med. 2025; 14 (1) : e17
URL: http://jpmed.ir/article-1-1360-en.html
URL: http://jpmed.ir/article-1-1360-en.html
Hamed Aghdam *1
1- , hamedaghdam@gmail.com
English Extended Abstract: (26 Views)
Background and Aim: Severe hemorrhage remains the leading cause of preventable death on the battlefield. This study aims to synthesize localized clinical protocols for blood management, focusing on the operational transition to Whole Blood (WB) and the establishment of resilient blood reservoirs.
Methods: In this structured narrative review, document selection was guided by the PICO framework across PubMed, Scopus, Web of Science, Google Scholar, SID, and Magiran databases (January 2000 to December 2025). Out of 145 initially retrieved sources, 30 localized clinical practice guidelines (CPGs) and comprehensive reviews were sampled and analyzed across 5 strategic domains: whole blood transfusion, en route care, alternative group A utilization, frozen RBCs, and proactive viral screening. Personnel competency was categorized using Benner's model.
Findings: Whole Blood is the gold standard for hemostatic resuscitation due to its physiological component ratios. Utilizing Group A whole blood for matching casualties in Level 3 facilities significantly enhances logistical resilience in mass casualty incidents (MASCAL) by up to 40%. Crucially, the safety of "Walking Blood Banks" (WBB) depends on pre-screened reservoirs—soldiers with updated negative viral markers (HIV, HBV, HCV). Frozen RBCs serve as a 10-year passive defense reserve in austere environments.
Conclusion: Hemostatic resuscitation with whole blood, a 40% increase in logistics resilience via the Group A strategy, and securing walking blood banks through proactive peacetime viral marker screening are the core pillars of localized military medicine that directly guarantee casualty survival.
Methods: In this structured narrative review, document selection was guided by the PICO framework across PubMed, Scopus, Web of Science, Google Scholar, SID, and Magiran databases (January 2000 to December 2025). Out of 145 initially retrieved sources, 30 localized clinical practice guidelines (CPGs) and comprehensive reviews were sampled and analyzed across 5 strategic domains: whole blood transfusion, en route care, alternative group A utilization, frozen RBCs, and proactive viral screening. Personnel competency was categorized using Benner's model.
Findings: Whole Blood is the gold standard for hemostatic resuscitation due to its physiological component ratios. Utilizing Group A whole blood for matching casualties in Level 3 facilities significantly enhances logistical resilience in mass casualty incidents (MASCAL) by up to 40%. Crucially, the safety of "Walking Blood Banks" (WBB) depends on pre-screened reservoirs—soldiers with updated negative viral markers (HIV, HBV, HCV). Frozen RBCs serve as a 10-year passive defense reserve in austere environments.
Conclusion: Hemostatic resuscitation with whole blood, a 40% increase in logistics resilience via the Group A strategy, and securing walking blood banks through proactive peacetime viral marker screening are the core pillars of localized military medicine that directly guarantee casualty survival.
Article number: e17
Keywords: Whole Blood, Hemostatic Resuscitation, Walking Blood Bank, Viral Screening, Mass Casualty Incidents, Operational Resilience.
Article Type: Narrative Review |
Subject:
Police Medicine Emergencies
Received: 2026/04/5 | Accepted: 2026/09/27 | Published: 2026/10/27
Received: 2026/04/5 | Accepted: 2026/09/27 | Published: 2026/10/27
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |