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Prehospital transfusion in paediatric trauma can improve patient outcomes: further research and collaboration is needed to increase availability and appropriate application
  1. Kelly Nwankiti
  1. Tranfusion and Patient Blood Managment, King's College Hospital, London, UK
  1. Correspondence to Kelly Nwankiti, King's College Hospital NHS Foundation Trust, London, UK; knwankiti{at}

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Commentary on: Morgan KM, Abou-Khalil E, Strotmeyer S, Richardson WM, Gaines BA, Leeper CM. Association of Prehospital Transfusion With Mortality in Pediatric Trauma. JAMA Pediatr. 2023 Jul 1;177(7):693-699. doi: 10.1001/jamapediatrics.2023.1291.


Implications for practice and research

  • Results of this study suggest that children benefit from prehospital emergency transfusion with a direct correlation in reduced mortality. This should be an intervention that is readily available in the immediate post-injury phase, when anticipating massive transfusion.

  • Further high-quality research and collaboration would be ideal to support increasing prehospital transfusion in paediatric trauma but also to assist in developing prehospital transfusion pathways and practice that can potentially save lives.


Prehospital (PH) transfusion is a well-established practice in adult trauma with studies showing reduction in initiating transfusion improving overall survival.1 2 As haemorrhagic shock is frequently associated with poor outcomes in paediatric …

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  • Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.