UMEM Educational Pearls

Title: Prehospital blood for non-traumatic hemorrhage

Category: Trauma

Keywords: Prehospital, transfusion, non-trauma (PubMed Search)

Posted: 1/11/2026 by Robert Flint, MD (Updated: 1/23/2026)
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Much has been written about the benefits of prehospital blood transfusion for traumatic hemorrhage. Can this success be ascribed to non-traumatic hemorrhage as well? This small study (50 patients over 10 years!) says  there were improvements in patient physiology (shock index) for those patients receiving blood for GI bleed, etc. Much more research is needed however this could be a beneficial practice in the future.

References

Kodakadath, H., Dillane, S., Griggs, J. et al. Pre-hospital blood transfusion in non-traumatic major haemorrhage: a retrospective observational study. Scand J Trauma Resusc Emerg Med 33, 191 (2025). https://doi.org/10.1186/s13049-025-01495-z