Key Points:

Current standard-of-care civilian trauma resuscitative practices have been forged upon military data and concepts. This includes blood component ratios in massive transfusion protocols (MTPs) which, apart from a large civilian study with potential benefit, are limited by their retrospective nature and potential selection or survival bias. Successful use of WB has been reported over the last decade in military scenarios and is being slowly instituted in several large civilian trauma centers in the United States. Herein, we briefly review WB, potential applications in civilian trauma care and suggestions for administrators at institutions that wish to develop a WB strategy.

Although WB in military use is warm and fresh, WB available for civilian trauma will be cold (stored at 1-6 degrees Celsius) with added CPDA anticoagulant. The current FDA-approved shelf-life (up to 35 days, although many...

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