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Iowa FD’s red blood cell pilot program proves worth with stabbing victim

A Des Moines Fire Department paramedic used a blood transfusion system after a stabbing, starting treatment before the patient reached a hospital

Editor’s note: LifeServe Blood Center contacted EMS1 to clarify a point about the Des Moines pilot program. LifeServe Blood Center supplies red blood cells for the Des Moines EMS program, not whole blood.

DES MOINES, Iowa — A Des Moines pilot program allowing paramedics to perform blood transfusions in the field is being credited with saving lives and changing how trauma care begins.

Launched in November, the program equips certain ambulances with blood and the tools needed to administer transfusions at the scene, KCCI reported.

| MORE: Whole blood in EMS promises a revolution in resuscitation

Des Moines Fire Department paramedic Coby Klocko saw the program’s impact firsthand on Feb. 19 after responding to a stabbing at Polk County’s Life Services Center.

Klocko said the victim was bleeding heavily and needed immediate care. Although he had only practiced field transfusions on training mannequins, he determined the situation required quick action.

Using the mobile blood transfusion system, Klocko began treatment before the victim reached the hospital. Doctors say that kind of early intervention can increase survival rates by about 30%.

“I have been in practice for approximately 15 years,” said Dr. Carlos Pelaez, Iowa Methodist Medical Center’s Trauma medical director. “This is the single most relevant change in trauma care in our city that I have seen since I started practicing trauma surgery.”

Klocko said having the blood and training was critical to the patient’s survival.

His decision to begin the transfusion in the field ultimately saved the man’s life and later gave him the chance to meet the patient he helped save.

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Bill Carey is the associate editor for FireRescue1.com and EMS1.com. A former Maryland volunteer firefighter, sergeant, and lieutenant, Bill has written for several fire service publications and platforms. His work on firefighter behavioral health garnered a 2014 Neal Award nomination. His ongoing research and writings about line-of-duty death data is frequently cited in articles, presentations, and trainings. Have a news tip? He can be reached at news@lexipol.com.