Blood Procurement in the State of Ohio

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IN the course of dealing with patients who are to have open-heart operations or other extensive operative procedures at our hospital, it has become apparent that almost every case presents individual problems from the standpoint of blood replacement. Such problems are largely those of geography, and are further complicated by the different approaches of communities to meeting their responsibilities to their people in providing blood procurement programs.

The simplest type of blood replacement is for the patient who resides in an area where an active community or Red Cross blood program exists. The most difficult type is for the patient who lives in a community without blood bank facilities, which is so far from our city that it is a hardship for his donors to come to our hospital bank. Fortunately, in most instances, the situation can be solved by having the blood collected from the donors at a hospital near the patient’s home or at a hospital or blood center between the patient’s home and Cleveland. Sometimes donors can be obtained in Cleveland through the activity of church, labor, or fraternal groups. Some areas provide cash payment for replacement of blood used by patients from their areas.

Because of the complexities of blood procurement, a map of Ohio was prepared to show the blood bank facilities that are available in various areas (Fig. 1). Information for the preparation of this map was obtained from patients, their referring physicians, local pathologists, the office of the Cleveland Regional Blood Center of . . .



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