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V Closing Remarks
Pages 107-114

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From page 107...
... v Closing Remarks 107
From page 109...
... Clearly, one sore point is donor management. To use a bad metaphor, a blood donor is a gift horse receiving the most extensive dental examination imaginable.
From page 110...
... We can all join in the fond hope that the ultimate use of this reserve will be as a backup for civilian catastrophes rather than military operations. About blood substitutes, only one comment: blood and blood products have become, if not perfectly safe, yet so relatively safe that it is not going to be easy for blood substitutes to compete because these substitutes will be held to the same standards as the current product.
From page 111...
... Doug Surgenor reported on the most recent data, those available from 1992, which indicated that more than 12 million units were collected by regional blood centers and hospitals in the United States. It was a little distressing to hear that major changes took place in both the collection and transfusion practices from 1989 through 1992, but no one sitting in this room can really tell us what the trends have been from 1992 through 1995.
From page 112...
... In the United States, we hear that it may be better to move away from a community responsibility and perhaps move to a more central idea of a national blood supply.
From page 113...
... These systems have been useful in a variety of areas, but they do not appear to be very useful for managing the civilian blood inventory on a day-to-day basis in the United States. However, they certainly could be used for potential quarantine problems, for rare blood types, and for some rare medical indications in which freezing is important.
From page 114...
... It remains important research that could save several hundred thousand units a year. Extended shelf life certainly could be helpful for remote areas of the United States and for making autologous blood more effective for those individuals for whom it is indicated.


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