TABLE CONTENTS

File: 970930_sep96_sagwi1_0003.txt
Page: 0003
Total Pages: 29
Subject = TABLE CONTENTS                                                  

Parent Organization = XVIII CORPS 

Unit = 3D ACR      

Folder Title = INFORMATION PAPERS                                                                              

Document Number =          8

Box ID = BX001802









                                                           AFZP-MD
                                                           19 December 1990


                                INFORMATION PAPER


       Subject: Blood Management Program



       PLirpose: Outline blood management procedure for the 24th Infantry
       Division (Mechanized).


       Facts:

       1. The Division Surgeon has developed an SOP for the management of
       blood products within the Division and will supervise the program.
       The lowest levl@l medical treatment facility where blood will be
       administered is the medical company Rnd only picked red blood
       ce-ll (PfiBCS) will be used.


       2. Blood is delivered to the Division based on requests as
          identified by the daily blood report. The report is
       consolidated from dkta generated at the medical company.    This
       report is delivered to CORPS daily, and the requested blood is then
       delivered to a designated forward point, (i.e. CSH) for pic@, up by
       the Division.


           Eich medical company can hold 30 units of PRBCS with surge
       capacity to 60 units. Blood is stored in specially designed
       storage refrigeration systems which maintain the temperatures
       within the range of 1 - 6 degrees C. Properly maintained, blood
       can be stored for Lip to --@5 days. Blood is transported in blood
       transport coolers with ire, which can also store blood -for several
       days. However, this storage system must be monitored carefully for
       temperature fluctuations.

       4. The Divis;ion will attempt to operate in the 0 phase of
       transfusion which provides only (I type blood (universal donor) to
       patients. The A/D phase is available which requires simple typing
       and dog tag verification for those patients receiving type A. A
       random mi>: of blood types in the population is f35%, with either
       type A or 0. Thus some patients can receive type A and non - A
       type patients will receive 0.

       5. Fs?w casualties will require the immediate transfusion of blood.
       Fhysiological stability ciii be maintained with fluids even in cases
       of substantial blood loss. This plan is easily implemented and
       will allow -For timely transfusion for those patients that need
       blood. The plan has been discussed with Bde medical personnel and
       received their concurrence.



                                          J. BENJAMIN HALL/Division Surgeon