Randi Schaefer, DNP, RN

Clinical Consultant, Retired Army Emergency/Trauma Nurse, Scientific Advisor, Civ Prehospital Advocate so we don’t forget what we learned on the battlefield.

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@HandtevyMD @EMSWorldOFCL @PBCFR @LifeFlow__ It is always a good time hanging out with @HandtevyMD @markpiehl and the rest of the @SPARC2024 team!

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@HandtevyMD @FL_NAEMSP Congrats!

[Randi Schaefer, DNP, RN @RandiSchaefer8]

Curious where prehospital blood is (and is not) happening? Check out the maps. Prehospital blood is not just for the individual patients. Blood products should be a specific response capability for local, regional, state, and Federal MCI/Disaster planning & response.

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Read the NEW Military Supplement article “Removing the barriers to prehospital blood: A roadmap to success” 🏥🩺

All Supplement Articles are Open Access
#militarymedicine #Medx #MilitarySurgery #MedEd

https://t.co/3jwewlHknl

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Read the NEW Military Supplement article “Removing the barriers to prehospital blood: A roadmap to success” 🏥🩺

All Supplement Articles are Open Access
#militarymedicine #Medx #MilitarySurgery #MedEd

https://t.co/3jwewlHknl

[SPARC @SPARC2024]

We were honored to promote education to our uniform first responders. What an amazing place to start a walking Whole Blood program. Cheers SPARC Team

[Randi Schaefer, DNP, RN @RandiSchaefer8]

Time flies when you are having fun! Here is the info for the 2024 National Whole Blood Summit.

[Randi Schaefer, DNP, RN @RandiSchaefer8]

Reminder that this month’s 2nd Annual National Whole Blood Summit is cancelled. Due to the high operational tempo in South Texas, we will not be able to offer a virtual version.
See you next year! https://t.co/hcXC0dxdBf @Dj53Jenkins @SpinellaPhilip @STRAC

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@NoobieMatt @TheRovingSkip @HandtevyMD @LifeFlow__ @QinfloWarrior @my1blood @PBCFR @markpiehl There are 5 more parts of the series coming out on various NBC platforms. Stay tuned.

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@thiosulfate24 @HandtevyMD @PBCFR Whether the unit is actually transfused or not (blown site, etc), they (orders) still need to be there for traceability of the unit. The narrative might be a good place to document reasons it was NOT transfused.

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@thiosulfate24 @HandtevyMD @PBCFR 2 elements in the record: the order for the transfusion itself and a physician signature stating the urgency for UNCROSSMATCHED units to be used.

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@HandtevyMD @DanielRGerard @PBCFR There are various ways to tackle it. Electronic or hard copy. A reasonable amount of time after the transfusion is acceptable. BLUF: if you get audited, it needs to be clearly found in the pts record.

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@HandtevyMD @PBCFR @FDICevent TCCC in the house!

[Randi Schaefer, DNP, RN @RandiSchaefer8]

What an honor to be a part of this event!

[Peter Antevy @HandtevyMD]

This week we held the first ‘SPARC Academy’ at the Broward Convention Center.

We aimed for 60 attendees — 120 attended!

The main message:
Hemorrhaging patients need blood BEFORE they get to the hospital.

The data we’ve presented leaves no doubt that pre-hospital whole blood saves lives.

This will be the standard of care across the US within 5 years.

@mhshospital @LifeFlowInfuser @QinfloWarrior @Handtevy @PBCFR @browardsheriff @noemsf @RandiSchaefer8 @markpiehl @Tulane @cindykgoodman @60Minutes @WPLGLocal10

[Peter Antevy @HandtevyMD]

6 year old Izzy had a post-tonsillectomy bleed at home.

She was hypotensive and unresponsive when her Dad called 911.

Her Dad happens to be one of our District Chiefs at @PBCFR .

When he called 911 he said “Send the whole blood.”

Hearing the 911 call, seeing the emotion from Chief, and watching Izzy run around the conference hall today was priceless.

#Prehospital #WholeBlood #Pediatrics

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@HandtevyMD @srjattorney @LifeFlowInfuser @QinfloWarrior Congrats!

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@armyemdoc @JTraumAcuteSurg @LifeFlowInfuser Check out our pilot course coming up in Florida. Stop the bleed, replace what is lost, use adjuncts. This is a scenario driven course showing folks “how” to do it, plus learn about engaging with blood suppliers and hospitals.

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@squelcchh @GroundLvlFall @armyemdoc A large number of the 130 prehospital agencies using blood are not located in large urban settings or associated with academic communities. They are doing a great job managing it! Data forthcoming.

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@GeraldCreager @squelcchh @armyemdoc Ground agencies are using it when they don’t have access to LTOWB. It is given by itself or with PRBCs. Liquid plasma is preferred which has a longer expiration date than FFP. All subject to regional blood supplier availability.

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@armyemdoc @fwright00 @fisherad1 @theTHORnetwork One of the many reasons why a group of military and rural civilian ER/Critical Care nurses came together to start sharing the story that it can be done! Extra credit for it being a Joint (Air Force, Navy, Army, and civ) effort? 🤣

[Randi Schaefer, DNP, RN @RandiSchaefer8]

@armyemdoc @HandtevyMD @NAEMSP Velico. It is spray dried vs Freeze Dried.