ASH Clinical News ACN_4.1_FULL_ISSUE_DIGITAL | Page 67

FEATURE Features Blood Donation Separating Myth From Fact A fter natural disasters and other tragic events, many people try to help by rush- ing to the nearest blood donation center. While there’s no denying that many of the victims of tragedies require blood transfusions, the well-intentioned donors aren’t directly helping those people. “[Public tragedies] raise a lot of awareness about donating after the event, but obviously it was the people who donated in the days before the event whose blood was actually used for victims,” explained Steve Bolton, executive director of the Association of Donor Recruitment Profession- als, the educational division of America’s Blood Centers (ABC). Blood banks can’t survive on what Mr. Bolton called “disaster donations,” which can lead to un- even donation patterns. What’s needed is a stable supply, and that comes with a steady flow of dona- tions over time. ASHClinicalNews.org The viability of blood banks is further challenged by restrictions on eligible donors in the U.S. and blood-banking policies that affect the quality and safety of the nation’s blood supply. ASH Clinical News looked at the history of the blood-banking system and dissected some common blood donation myths and misconceptions. Blood Bank Backstory Modern blood banking started with man’s best friend: In the late 1600s, Richard Lower, MD, of Oxford, England, performed the first dog-to-dog blood trans- fusion. 1 Over the next several centuries, scientists made gradual discoveries in transfusion medicine: In 1818, British obstetrician James Blundell, MD, performed the first successful transfusion of human blood to a patient for the treatment of postpartum hemorrhage. 2 Less than a century later, in 1915, researchers showed that blood treated with a sodium citrate and dextrose solution (an anticoagulant) could be refrigerated and stored for two weeks. Then, in 1918, Oswald Robertson, MD, a physician with the U.S. Army Medical Corps dur- ing World War I, became the first physician to use stored blood for human transfusion. 2 This discov- ery allowed for the establishment of blood depots in Britain, and, though Dr. Robertson has been credited as the developer of the first blood bank, the London Blood Transfusion Service, founded by Percy Oliver in 1921, is recognized as the world’s first blood storage center. Cook County Hospital in Chicago holds the distinction of being the first such center in the U.S., opened in 1936. 2 Eventually, the term “blood bank” took hold globally. The American Association of Blood Banks was founded in 1947 to set blood bank quality- control standards. The following year, the American Red Cross began operating a full-scale blood bank program to collect and distribute blood for medical purposes. ASH Clinical News 65