Overview of national plan for NHS blood and transplant and hospitals to address blood shortage in the United Kingdom (Series 4): Guidance for transfusion triage and blood allocation in massively bleeding patients during a severe national blood shortage
10.13303/j.cjbt.issn.1004-549x.2025.12.024
- VernacularTitle:英国血液紧缺应对计划主要内容（四）：全国性血液供应严重紧缺期间大出血患者输血分诊与血液分配指引
- Author:
Jin GUO
1
;
Hongjie WANG
2
;
Yongjian GUO
3
;
Yong WANG
2
Author Information
1. Beijing Red Cross Blood Center, Beijing 100088, China
2. Beijing Red Cross Blood Center, Beijing 100088, China; Sub-Committee of Blood Standards, National Committee of Health Standards, Beijing 100088, China
3. Fujian Provincial Blood Center, Fuzhou 350004, China
- Publication Type:Journal Article
- Keywords:
blood shortage;
red cell shortage;
massively bleeding;
emergency blood management;
blood allocation
- From:
Chinese Journal of Blood Transfusion
2025;38(12):1812-1816
- CountryChina
- Language:Chinese
-
Abstract:
As the fourth installment in the series introducing the "national plan for NHS blood and transplant and hospitals to address blood shortage in the UK" details the development process and full content of the "Guidance for transfusion triage and blood allocation in massively bleeding patients during a severe national blood shortage". It primarily covers: defining "massive haemorrhage," outlining the activation and implementation procedures for Emergency Blood Management Arrangements, and introducing the emergency decision-making framework for blood allocation in patients anticipated to require massive transfusion. It also elaborates on the transfusion triage process and the methods for re-evaluating triaged patients, supported by examples cited from the appendices. Notably, it proposes ethical principles for the triage of transfusion patients, offering reference principles for China in formulating relevant policies and corresponding measures. As the final article in the series on the “Overview of national plan for NHS blood and transplant and hospitals to address blood shortage in the United Kingdom ", this piece summarizes the entire collection. It concludes that unified national planning, close cross-institutional collaboration, deep involvement of specialist committees, and evidence-based clinical practice are indispensable pillars for building a blood emergency management system capable of withstanding various shocks and consistently safeguarding patient lives. For China, which is committed to refining its own blood emergency management system, the UK's experience offers profound insights and lessons for reference, particularly in areas such as system architecture, legal framework development, the operation of specialist committees, and standardized processes.
