Pre-hospital blood product transfusion and calcium management in the United Kingdom: a multicentre service evaluation.

ABSTRACT:

Background

Hypocalcaemia and hypercalcaemia are associated with increased morbidity and mortality in trauma patients. Although in-hospital calcium replacement protocols target normocalcaemia, UK pre-hospital services lack standardised calcium monitoring capabilities and demonstrate significant variation in calcium supplementation. No evidence-based guidelines exist for pre- and early in-hospital calcium administration in patients receiving blood product transfusion. This study characterises current UK pre-hospital calcium management in patients requiring blood transfusion prior to ionised calcium (iCa) measurement.

Methods

A multicentre pre-hospital service evaluation across five UK Helicopter Emergency Medicine Services (HEMS) from February to April 2024, including all adul

SUBMITTER: Forbes A 

PROVIDER: S-EPMC12306068 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature