Thursday, October 22, 2009

USAF Hospital in Iraq Provides Blood for Afghanistan

The Air Force Theater Hospital platelet
apheresis lab at Joint Base Balad (Iraq) began dispatching blood platelets to Afghanistan Oct. 14,
2009.

The AFTH functions as the sole platelet provider in Iraq. Now, it is the
first in-theater medical facility to send platelets collected in one
operational area to another, said Lt. Col. Thomas Jordan, 332nd
Expeditionary Medical Group apheresis chief.

"When I first arrived, I noticed there was a need (for platelets) in
Afghanistan," Colonel Jordan said. "Sometimes we collect more platelets then
we need to meet the demand in Iraq. Right now we're at 56 to 62 units a
week. Since some of those units don't get applied -- and inevitably must be
destroyed if not used within their shelf life -- we wanted to figure out a
place we could utilize the excess."

Master Sgt. Philip Monk, platelet apheresis laboratory flight chief, said
while injuries requiring platelet transfusions have decreased in Iraq, there
is still a need for the condensed clotting agent in Afghanistan.

"Our sole purpose here is to provide platelets where they're needed,"
Sergeant Monk said. "So, we targeted (Afghanistan), and we weren't gonna be
stopped. We made sure we got them there."

Colonel Jordan and his team ran into a series of challenges getting the
platelets to the OEF theater.

"(Platelets) don't like to be above 73 degrees Fahrenheit or they die off,"
Colonel Jordan said. "So we have to keep them at a certain temperature for
the entire life of the platelet. This proved to be a difficulty during
flight.

The lab found a way to combat this, using a special cooler called a
'Golden-Hour Box that maintains the correct temperature throughout the
flight, which is about four to six hours, the colonel added.

The blood products, which he describes as "persnickety," depend on special
appliances to maintain them once they arrive at the Role 3 Multinational
Hospital in Kandahar, Afghanistan. Initially, that equipment was not on hand
there.

"Right from the beginning, we noticed that even if we got the platelets
there, the medical facility in Afghanistan wouldn't be able to sustain them
because they didn't have an incubator," Colonel Jordan said. "I looked
around here and found that we had an (extra) one. So, we figured out a way
to get it to Kandahar. They validated the effectiveness of that instrument
and then put it into use."

The process has been a joint effort between the Air Force, Army and Navy.
While the platelets are collected by the Air Force, the Navy runs the
Kandahar hospital and the Army handles the weekly shipments.

Army Sgt. Jason Westlund, a Charlie Company, 7th Battalion, 158th Aviation
Regiment flight medic who helps transport the boxes of blood products, was
excited about the new mission.

"We're here to support warfighters on the front lines," the sergeant said.
"And the thought that we may be a part of the process that saves someone's
life makes me feel very good about what we're doing here."

A.J. Allmond (AFNS)
# END