09/24/2026
This case report offers important lessons about managing a complex scene, inter-agency support, and the use of prehospital blood.
If you don't think blood rotation matters, there is one sentence that highlights the importance of a hospital blood partner:
HERT Deployment to the scene of the accident: "๐ก๐ผ๐๐ฎ๐ฏ๐น๐, ๐๐ต๐ฒ๐๐ฒ ๐๐๐ผ ๐๐ต๐ผ๐น๐ฒ ๐ฏ๐น๐ผ๐ผ๐ฑ ๐๐ป๐ถ๐๐ ๐ต๐ฎ๐ฑ ๐ฝ๐ฟ๐ฒ๐๐ถ๐ผ๐๐๐น๐ ๐ฐ๐ถ๐ฟ๐ฐ๐๐น๐ฎ๐๐ฒ๐ฑ ๐๐ถ๐๐ต๐ถ๐ป ๐๐ต๐ฒ ๐๐-๐๐ฅ๐ข๐ฃ ๐ฝ๐ฟ๐ฒ๐ต๐ผ๐๐ฝ๐ถ๐๐ฎ๐น ๐ฏ๐น๐ผ๐ผ๐ฑ ๐ฝ๐ฟ๐ผ๐ด๐ฟ๐ฎ๐บ ๐ฏ๐ฒ๐ณ๐ผ๐ฟ๐ฒ ๐ฏ๐ฒ๐ถ๐ป๐ด ๐ฟ๐ฒ๐ฑ๐ถ๐๐๐ฟ๐ถ๐ฏ๐๐๐ฒ๐ฑ ๐ฏ๐ฎ๐ฐ๐ธ ๐๐ผ ๐๐ต๐ฒ ๐๐ฟ๐ฎ๐๐บ๐ฎ ๐ฐ๐ฒ๐ป๐๐ฒ๐ฟ ๐ณ๐ผ๐ฟ ๐๐๐ถ๐น๐ถ๐๐ฎ๐๐ถ๐ผ๐ป ๐ฝ๐ฟ๐ถ๐ผ๐ฟ ๐๐ผ ๐ฒ๐
๐ฝ๐ถ๐ฟ๐ฎ๐๐ถ๐ผ๐ป."
Unfortunately, the outcome was not good for the patient, but the case offered many valuable lessons from a systems perspective.
Well done to the LA County Fire and EMS, Urban Search & Rescue (US&R), Hospital Emergency Response Team (HERT), and the LA-DROP teams!
Prehospital blood programs and Hospital Emergency Response Teams (HERT) have independently emerged to address critical gaps in early trauma care, particularly when rapid transport is not feasible. ...