title: In-flight transfusion of packed red blood cells on a combat search and rescue mission: a case report from operation enduring freedom.
abstract: Injuries on the battlefield can occur far from the nearest medical treatment facility. This is especially likely for downed pilots and special operations personnel. Some of these injuries lead to significant blood loss requiring transfusion. We present two cases of injured coalition force members during Operation Enduring Freedom that illustrate the potential need for a transfusion capability at the site of injury to prevent death. Consideration should be given to augmenting transfusion capabilities in military environments with predictably long evacuation times.
authors.affiliation: 250th Forward Surgical Team (Airborne), Combined Joint Special Operation Task Force-South, Kandahar, Afghanistan.
authors.forename: Brad C
authors.initials: BC
authors.lastname: West
authors.forename: Richard
authors.initials: R
authors.lastname: Bentley
authors.forename: Ronald J
authors.initials: RJ
authors.lastname: Place
mesh_terms: D000346:Afghanistan; D017732:Air Ambulances; D017707:Erythrocyte Transfusion / Q000379:methods*; D017809:Fatal Outcome; D006801:Humans; D008887:Military Medicine / Q000379:methods*; D008889:Military Personnel; D012771:Shock, Hemorrhagic / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D014187:Transportation of Patients; D014857:Warfare; D014947:Wounds and Injuries / Q000150:complications / Q000503:physiopathology / Q000628:therapy*