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The transport of casualties to higher levels of medical support by planes or helicopters can often not be delayed until complete stabilization of the patient. In particular, haemostasis might not have been balanced completely prior to evacuation, but may require continuous management during transport. ROTEM® technology has been successfully applied under the special environmental conditions of a plane flight, showing sufficient results to differentiate between diverse coagulation disorders. Recent technology advancements are currently evaluated to further improve the system ruggedness for aeronautical or mobile application. Stand-by surgical operation teams on far-off cruising naval vessels can only provide the required emergency assistance if blood products are available in sufficient amounts. However, continuous supply of remote ships with limited shelf life products is a tremendous challenge for any logistics unit and causes exceptionally high costs. ROTEM® bleeding management has been proven to reduce the consumption of transfused blood products in different kinds of surgery up to 50%. Its application on medical support ships will soon be available after finishing the evaluation of a current technology development to eliminate perturbing motions of rough sea completely. |
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