Warning of potential urgent blood shortage in Peaks region

Current need for patient blood-management strategies

Situation:
The American Red Cross is experiencing a rapid decline in its supply of group O red blood cells after several weeks of strong distributions, which is impacting communities in our Canyons and Desert regions. Vitalant’s blood supply is currently stable here in the Peaks region; however, trends indicate this could change in the coming months.

Background:
Our nation's blood centers have released multiple pleas to blood donors, but we still must be prepared for variable blood inventories that may impact patient care during the next several months. This applies to all blood components; however, platelets and group O red blood cell availability are experiencing the greatest impact.

Assessment:
Continued proactive management of our blood supply is essential. Comprehensive Patient Blood Management strategies must continue to be a priority during these difficult times.

Recommendations:
Donate blood: If you are healthy and eligible, please consider donating. To make a blood-donation appointment, click here.

Anticipate blood needs and implement mitigation strategies, such as pre-surgical optimization of anemic patients.

Practice evidence-based transfusion medicine:

• Promote strict adherence to our Evidence-Based Transfusion Guidelines.

• Use the lowest effective dose. Order only one unit of RBCs or platelets unless the patient is actively hemorrhaging and unstable (including in outpatient settings).

• When ordered and applicable at your facility, prioritize collection of a second ABO/Rh confirmation specimen. This allows for the use of type‑specific blood products and helps conserve group O red blood cells for patients who require them.

Minimize bleeding and blood loss:

• Minimize iatrogenic blood loss from frequent and/or avoidable lab draws in hospitalized patients.

• If available, consider thromboelastography (TEG) in actively bleeding patients to assess coagulopathy.

• Use hemostatic agents to minimize bleeding.

Identify and treat anemia quickly: Consider the use of IV iron in stable patients with anemia associated with chronic disease, iron deficiency or acute blood loss (per Pharmacy guidelines). Consider the use of erythropoiesis-stimulating agents when appropriate.

Patient Blood Management is a best everyday practice. During this time, it becomes even more important that we implement PBM strategies quickly and effectively, across all disciplines.

Thank you for your proactive attention to this potential patient-safety and community-health issue.