Low Titer O Whole Blood versus Component Therapy in Trauma

Overview

This presentation will describe several new studies and publications regarding the use of whole blood or low titer O whole blood (LTOWB) in trauma patients. Early and late survival in trauma patients receiving WB as compared to component therapy will be explored. Additionally, the utility of whole blood in certain situations such as use in children and in penetrating versus blunt injuries will be discussed.  Lastly, the effect of the amount of whole blood used in the resuscitation versus the entire amount of transfused products will be evaluated and the effect on mortality will be discussed. Since O- RBCs and O- whole blood are in extremely short supply, O+ RBCs and O+ whole blood are frequently used instead, regardless of the Rh status of the trauma patient. The frequency of anti-D development in trauma patients will be discussed as well as ethical considerations around Rh positive products.

Target Audience

This course is designed for hospitalists, nurse practitioners, physician assistants, advance practice nurses, registered nurses, allied health professionals, physicians and residents.

Learning Objectives

At the conclusion of this activity, participants should be able to:

  1. Describe the differences in outcomes of whole blood versus component therapy use in trauma patients.
  2. Summarize the effect of whole blood use in penetrating versus blunt injury in trauma patients on mortality.
  3. Identify the risk and benefit of using O+ RBC and O+ whole blood in all trauma patients.
Course summary
Available credit: 
  • 0.75 AMA PRA Category 1 Credit™
    HCA Healthcare Continental Division is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    HCA Healthcare Continental Division designates this for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 0.75 Attendance
Course opens: 
12/19/2024
Course expires: 
12/19/2026

Accreditation

Accreditation: The HCA Healthcare Continental Division is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 

Credit Designation: The HCA Healthcare Continental Division designates this enduring activity for a maximum of 0.75 AMA PRA Category 1TM Credit(s).  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support:  This Activity was developed without support from any ineligible company.*The ACCME defines ineligible companies as those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Note: The ACCME does not consider providers of clinical service directly to patients to be commercial interests – unless the provider of clinical services is owned, or controlled by, and ACCME defined ineligible company.

Disclosure: The HCA Healthcare Continental Division is committed to providing CME that is balanced, objective, and evidenced-based. In accordance with the Accreditation Council for Continuing Medical Education Standards for Integrity and Independence all parties involved in content development are required to disclose all conflicts of interest with ACCME defined ineligible companies. The HCA Healthcare Continental Division has identified, reviewed, and mitigated all conflicts of interest that speakers, authors, course directors, planners, peer reviewers, or relevant staff disclose prior to the delivery of any educational activity. The CME planning committee who are in a position to control the content of this CME Activity, have no relevant financial relationships with ineligible companies to disclose. 

Available Credit

  • 0.75 AMA PRA Category 1 Credit™
    HCA Healthcare Continental Division is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    HCA Healthcare Continental Division designates this for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 0.75 Attendance

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  1. Participate in the activity
  2. Complete Pre/Post Test
  3. Complete the Activity Evaluation

Learners who complete the requirements above will receive the designated credits they are eligible for. Learners interested in CME credit must verify their profession is listed in their profile in order to be eligible for credits.

Required Hardware/software

We recommend the following hardware/software to successfully view and complete the contents of this course:

For ease of use, we strongly recommend using a desktop computer to complete this course. The following desktop web browsers are compatible with our system:

Desktop: Chrome, Internet Explorer, MS Edge, Safari

While not recommended, if you are familiar with completing courses online you may complete this course using a mobile device. For those wishing to complete this activity on Mobile, the following systems are recommended:

Apple iPhones and iPad devices on iOS 10 or later
Android phones and tablets on Android OS 4.4 or later using the supported web browsers listed above.

If you encounter any issues while accessing our courses, please contact CME@HCAHealthONE.com