Hemodynamics, fluids & transfusion

Revised french military transfusion doctrine for large-scale combat operations: a consensus framework

Crit CarePublished Delphi consensus statement

Methodological detailsDelphi-based consensus process, three Delphi cycles, full consensus (100%), Conducted between November 2024 and April 2025; eleven thematic domains reviewed
  • Delphi-based consensus process
  • Three Delphi cycles
  • Full consensus (100%)
  • Conducted between November 2024 and April 2025; eleven thematic domains reviewed

Recommendations

As issued by the authors

  1. Cold-stored whole blood prioritised as the primary resuscitation product for Roles 1 and 2

  2. Role 3 to employ component therapy

  3. A new dedicated operational medical unit to oversee in-theatre collection, testing and distribution

  4. Forward transfusion by trained nurses using universal blood products under predefined criteria authorised, with strict traceability and targeted training

Original publication

Revised french military transfusion doctrine for large-scale combat operations: a consensus framework. Crit Care. Published 10 April 2026. doi:10.1186/s13054-026-05862-9

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