Advanced Damage Control Resuscitation and Prehospital Transfusion Course (ADaPT)

An International Multidisciplinary Military and Civilian Network

Co-developed by North American Rescue® Education and Training (NAR® Training) and the Trauma Hemostasis and Oxygenation Research Network (THOR), this immersive three-day course blends foundational science, hands-on skills, and EMS simulation training. Receive training from subject matter experts and THOR network instructors supporting real-world prehospital trauma care across trauma and non-trauma patients including pediatric, obstetric, and geriatric considerations.

Discover systems and compliance focus agencies need to sustain safe programs – including key AABB and FDA requirements and operational best practices for high-reliability blood operations, with considerations for products such as low-titer O whole blood (LTOWB) and blood components.

Prehospital blood programs are growing fast, but many agencies still lack a clear, standardized approach for prehospital transfusion and field transfusion. This can lead to inconsistent transfusion protocols, incomplete documentation and quality assurance, and higher risk during blood product transfusion in high-stress calls.

The Advanced Damage Control Resuscitation and Prehospital Transfusion (ADaPT) course was built to close that gap by giving EMS teams and leaders practical, evidence-based training on Damage Control Resuscitation (DCR), hemorrhagic shock, and trauma resuscitation, including safe blood product administration EMS workflows and program readiness for EMS blood operations.

Next Course

No date currently set

IMMERSIVE | HANDS-ON | INSTRUCTOR-LED

What You'll Learn

Lecture 75% | Skills 15% | Scenarios 10%

Days 1-2

Shock physiology, hemorrhage control, airway + resuscitation skills, and decision making for early blood-forward care.

Hands-On Training: Skills stations and EMS simulation training with trauma and non-trauma cases, including pediatric, obstetric, and geriatric considerations.

Day 3

Program governance, documentation, QA, and key AABB and FDA considerations for safe operations for administering blood products in the field or prehospital environment.

Who is this course for?

Medical directors, clinical supervisors, and program administrators overseeing blood product transfusion standards.
Paramedics, RNs, Critical Care/Transport clinicians (ground or air), Flight Paramedics and Flight Nurses, Tactical and Offshore medics, Military medics and corpsmen, USAR teams, and any prehospital medical teams using or planning to use blood products in the field.
Teams supporting compliance, documentation, QA, and program sustainability.

Course Objectives

1

Apply evidence-based Damage Control Resuscitation (DCR) principles to identify patients in hemorrhagic shock who may benefit from early blood-forward resuscitation during prehospital trauma care and trauma resuscitation.

2

Demonstrate safe blood administration EMS workflow steps for prehospital transfusion and field transfusion, including preparation, initiation, monitoring, reassessment, and documentation in accordance with established transfusion protocols.

3

Maintain operational readiness and patient safety by verifying blood product handling requirements and applying cold chain and traceability practices relevant to blood product and blood product transfusion, including considerations for low-titer O whole blood (LTOWB).

4

Recognize and manage suspected transfusion-related complications by identifying early warning signs, initiating immediate response actions, and documenting events to support quality assurance and medical oversight.

5

Describe the program-level elements required to implement and sustain a compliant, high-reliability prehospital blood program, including governance, documentation, quality assurance processes, and key AABB and FDA compliance considerations.

Who is this course for?

Standardizes prehospital transfusion and field transfusion workflows.
Improves readiness, monitoring, traceability, and reaction response during blood product transfusion.
Bridges evidence-based practice for safety, EMS whole blood and blood product administration and operations.

What You'll Walk Away With

A repeatable operational workflow to build or improve a blood program.
Practical skills and scenario experience you can apply immediately.
Tools for patient selection, timing, monitoring, and documentation.
CAPCE CE documentation (26-NARE-F2-0102).