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Practical aspects of emergency response in blood establishments BPAC, August 2011, Gaithersburg

Practical aspects of emergency response in blood establishments BPAC, August 2011, Gaithersburg. Louis M. Katz MD Mississippi Valley R egional Blood Center Davenport, IA. Blood use following US disasters: Historical perspective. US civilian disasters 105-131 units

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Practical aspects of emergency response in blood establishments BPAC, August 2011, Gaithersburg

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  1. Practical aspects of emergency response in blood establishmentsBPAC, August 2011, Gaithersburg Louis M. Katz MD Mississippi Valley Regional Blood Center Davenport, IA

  2. Blood use following US disasters: Historical perspective • US civilian disasters 105-131 units • Skywalk collapse in KC hotel • Airliner Sioux City Iowa • Oklahoma City Govt. Center bombing • Columbine High School • 9/11/2001 • 258 units 1st day (1000 collections/d NYBC) Hess and Thomas. Transfusion. 2003)

  3. Sept. 11, 2001: Courtesy of the New York Blood Center

  4. ABC/BCA Spoke and Hub system: 2011

  5. Many useful resources for planning templates • AABB plans www.aabb.org/programs/disasterresponse/Pages/default.aspx www.aabb.org/programs/disasterresponse/Pages/taskforcepibs.aspx • CHEST: triage of limited resources in disaster: Definitive care for the critically ill during a disaster: a framework for optimizing critical care surge capacity: from a Task Force for Mass Critical Care summit meeting, January 26-27, 2007, Chicago, IL. Rubinson L et al. Chest. 2008. 133(5 Suppl):18S-31S. Definitive care for the critically ill during a disaster: a framework for allocation of scarce resources in mass critical care: from a Task Force for Mass Critical Care summit meeting, January 26-27, 2007. Devereaux AV et al Chest. 2008 May;133(5 Suppl): 51S-66S.

  6. If you’ve seen one pandemic, you’ve seen one pandemic Kamp et al. Transfusion. 2010

  7. Response in (extended) blood emergencies: a question of balance • Supply: enough qualified donors (and enough supplies, personnel, equipment etc.) to accommodate “needs” • Demand: effectivecontrol of blood use to accommodate supply

  8. The Supply Side: global red cell use rates: 2008-09 Devine D et al: International Forum: Inventory Management. Vox Sang. 2009

  9. MVRBC 2009-11

  10. MVRBC hospital service contract: you can lead a horse to water… • Hospital will develop…written plan for the distribution of blood and blood product during a shortage…. Such …plan must include, but is not limited to, management of blood and blood product distribution. • Hospital will also provide updates to the …plan to blood center as updates are completed. • Blood center will assist in the development of this plan upon request by hospital.

  11. Summary and conclusions • There is no history of local disaster that has stressed our ability to provide adequate blood and components • Protecting transportation and communication is key • The blood community, in response to the 2009 influenza A pandemic, generally produced response plans for a widespread and prolonged event (and feels confident) • Those plans have not been adequately exercised • The blood community welcomes “prospective” regulatory flexibility for donor/donation qualification • Management of the demand side at hospitals via planning and triage must be formally implemented

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