Long School of Medicine

Resuscitation for Hemorrhagic Shock and Ethical Considerations Low Titer O+ Whole Blood and the South Texas Consortium

Continuing Medical Education

Online Course

June 24, 2021 - May 14, 2023

Course Description

The online enduring presentation discusses Hemorrhagic shock and a method of treatment in a pre-hospital setting. Hemorrhagic shock is the leading cause of preventable death following traumatic injury. Early detection of hemorrhagic shock and implementation of prehospital transfusion may improve survival in this patient population. The presentation introduces you to our regional trauma network (Southwest Texas Regional Advisory Council) developed and implemented as a multi-phased approach toward facilitating remote damage control resuscitation. This approach requires placing low-titer O+ whole blood (LTO+ WB) at helicopter emergency medical service bases, transitioning hospital-based trauma resuscitation from component therapy to the use of whole blood, modifying select ground-based units to carry and administer whole blood at the scene of an accident, and altering the practices of our blood bank to support our new initiative.

Target Audience

Any healthcare professional interested in the change of hemorrhagic shock in a pre-hospital setting. Those subspecialists working in a pre-hospital and/or emergency department may be particularly interested in this presentation.

Learning Objectives

  • List at least two transfusion triggers for administration of prehospital cold stored whole blood.
  • Describe the function of platelets in cold stored whole blood compared to platelet function in apheresis room temperature stored platelets.

Physician Participation

Upon completion of viewing the online presentation, please follow the instructions at the end of the presentation to complete the evaluation. Once the evaluation is completed, the user will be provided the option to print their certificate.

Program Registration Information

Registration Fees

No Charge

Continuing Medical Education Credit - Accreditation Statement

As an ACCME-accredited CME provider, The UT Health Science Center San Antonio must ensure that its CME activities are independent of the control of commercial interests. All speakers and planning committee members for the UT Health Science Center San Antonio sponsored programs are expected to disclose (prior to the activity) all “relevant financial relationships” as financial relationships in any amount occurring within the past 24 months that create a conflict of interest. (“Relevant” financial interest or other relationships can include such things as grant or research support, employees, consultants, major stockholders, members of speaker bureau, etc.)

The UT Health Science Center San Antonio and Rebecca Terrazas, course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The UT Health Science Center San Antonio and the University Health System. The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Academy of Physician Assistants (AAPA), American Academy of Nurse Practitioners (AANP) and the American Nurses Credentialing Center (ANCC) accepts certificates of attendance for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

Healthcare professionals receiving a certificate of attendance should consult with their licensing board for information on applicability and acceptance.

Credit may be obtained upon successful completion of the activity’s evaluation.

Release date: May 14, 2020     Credits expire: May 14, 2023

Hardware/Software Requirements

Donald Jenkins, MD, FACS
Professor for Surgery, Uniformed Services University UT-Health, Department of Trauma Services
San Antonio, Texas

Donald Jenkins, MD, UT-Health, San Antonio employee and does not have any relevant financial or non-financial relationships with any proprietary interests, nor any conscious conflicts of interest.

The planning committee members listed below do not have any relevant financial interest to disclose.

Rebecca Terrazas, RN
Amy Quinn, MD
Antonio Hernandez, MD
Kayla Ireland, MD
Dolores Perry, RN
Patrick Ramsey MD, MSPH