2025
John Hill
Scott Wildenheim
Vicky Cary, MLS (ASCP)CM, SBBCM - Manager, Transfusion Medicine, Blood Bank
Matt Howlett MLS (ASCP)CM - System QA Coordinator. Transfusion Medicine, Blood Bank
Blood and Transfusion Medicine, Part 1
Blood and Transfusion Medicine, Part 2
Blood and Transfusion Medicine, Part 3
Blood and Transfusion Medicine Live, Part 4
Episode Title:
Bringing Blood to the Field: Innovations in EMS and Transfusion Medicine
Episode Description:
In this insightful episode of The Pre-Hospital Paradigm Podcast, Dr. John Hill and co-host Scott Wildenheim dive deep into the evolving world of blood transfusion medicine with special guests Vicki Cary, Manager of Transfusion Medicine, and Matt Howlett, System QA Coordinator for Blood Banks. Together, they explore the critical role of blood and blood products in EMS and trauma care, the challenges of maintaining blood supplies, and recent advancements expanding paramedic scope of practice in Ohio.
Discover how these changes may revolutionize out-of-hospital care, the science behind blood compatibility, and how transfusion reactions are managed. From the logistics of storing blood on EMS vehicles to the potential for expanded field capabilities, this episode delivers a comprehensive look at the intersection of pre-hospital care and transfusion medicine.
Don’t miss the call to action: donating blood saves lives!
Topics Discussed in This Episode:
Blood 101
Understanding ABO and Rh blood types.
Why O-negative blood is so vital in emergency care.
Recent Changes in Ohio Law
Paramedics can now initiate blood transfusions in the field.
Implications for EMS systems and patient care.
Blood Products and Their Uses
Differences between red blood cells, plasma, and platelets.
Specialized uses for each product in trauma, cancer care, and beyond.
Storage and Safety Challenges
Stringent storage requirements for blood products in field settings.
Ensuring product integrity and compliance with FDA standards.
Transfusion Reactions and Patient Safety
Identifying and managing complications from transfusion reactions.
The importance of vein-to-vein tracking and regulatory compliance.
Future Innovations in EMS Blood Use
Liquid plasma and other products tailored for trauma care.
Emerging technologies like dried blood reconstitution and pathogen-reduced products.
Donating Blood: A Lifesaving Act
Why regular blood donations are crucial for maintaining supply.
How listeners can contribute to local blood drives.
Key Quotes from the Episode:
“In the EMS world, we often think of blood as just ‘the red stuff,’ but its uses and components are far more nuanced.” – Dr. John Hill
“Blood transfusion is not 100% safe, but it’s as safe as we can make it with advanced testing and screening.” – Vicki Carey
“The potential for paramedics to transfuse blood in the field could be a game-changer for trauma care in rural and underserved areas.” – Matt Hollett
Resources and Links:
Learn more about blood types and donations: American Red Cross
Ohio EMS Blood Transfusion Law Updates: Ohio Department of Health
Find a blood drive near you: AABB Blood Donation Locator
Call to Action:
Donate blood today and be a lifesaver! University Hospitals and local blood banks are always in need of donors. Together, we can ensure a steady supply of life-saving blood products for our communities.
Challenge:
Which local hospital or EMS agency can recruit the most blood donors? Stay tuned for our upcoming EMS Blood Drive Challenge and help make a difference!
Vicki explains the basics of the ABO typing
Matt discusses the difficulties in keeping products at tempature
John describes mass transfusion protocols
Scott asks about where other blood components get used