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Open Access

Is the whole greater than the sum of its parts? The implementation and outcomes of a whole blood program in Ecuador

Amber Himmler, Monica Eulalia Galarza Armijos, Jeovanni Reinoso Naranjo, Sandra Gioconda Peña Patiño, Doris Sarmiento Altamirano, Nube Flores Lazo, Raul Pino Andrade, Hernán Sacoto Aguilar, Lenin Fernández de Córdova, Cecibel Cevallos Augurto, Nakul Raykar, Juan Carlos Puyana, Juan Carlos Salamea
DOI: 10.1136/tsaco-2021-000758 Published 18 November 2021
Amber Himmler
1Department of Surgery, MedStar Georgetown University Hospital, Washington DC, District of Columbia, USA
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Monica Eulalia Galarza Armijos
2Department of Surgery, Hospital Vicente Corral Moscoso Cuenca, Cuenca, Ecuador
3College of Medicine, Universidad de Cuenca, Cuenca, Ecuador
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Jeovanni Reinoso Naranjo
2Department of Surgery, Hospital Vicente Corral Moscoso Cuenca, Cuenca, Ecuador
3College of Medicine, Universidad de Cuenca, Cuenca, Ecuador
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Sandra Gioconda Peña Patiño
3College of Medicine, Universidad de Cuenca, Cuenca, Ecuador
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Doris Sarmiento Altamirano
4College of Medicine, University of Azuay, Cuenca, Ecuador
5Department of Surgery, Hospital Jose Carrasco Arteaga, Cuenca, Ecuador
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Nube Flores Lazo
2Department of Surgery, Hospital Vicente Corral Moscoso Cuenca, Cuenca, Ecuador
3College of Medicine, Universidad de Cuenca, Cuenca, Ecuador
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Raul Pino Andrade
2Department of Surgery, Hospital Vicente Corral Moscoso Cuenca, Cuenca, Ecuador
3College of Medicine, Universidad de Cuenca, Cuenca, Ecuador
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Hernán Sacoto Aguilar
2Department of Surgery, Hospital Vicente Corral Moscoso Cuenca, Cuenca, Ecuador
6College of Medicine, Universidad de Azuay, Cuenca, Ecuador
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Lenin Fernández de Córdova
2Department of Surgery, Hospital Vicente Corral Moscoso Cuenca, Cuenca, Ecuador
7College of Medicine, Universidad Católica de Cuenca, Cuenca, Ecuador
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Cecibel Cevallos Augurto
2Department of Surgery, Hospital Vicente Corral Moscoso Cuenca, Cuenca, Ecuador
3College of Medicine, Universidad de Cuenca, Cuenca, Ecuador
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Nakul Raykar
8Department of Surgery, Brigham and Women’s Hospital, Boston, Massachusetts, USA
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Juan Carlos Puyana
9Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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Juan Carlos Salamea
2Department of Surgery, Hospital Vicente Corral Moscoso Cuenca, Cuenca, Ecuador
6College of Medicine, Universidad de Azuay, Cuenca, Ecuador
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Article Information

vol. 6 no. 1
DOI 
https://doi.org/10.1136/tsaco-2021-000758

Online ISSN 
2397-5776
History 
  • Received April 27, 2021
  • Accepted August 21, 2021
  • Published online November 18, 2021.

Copyright & Usage 
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

Author Information

  1. Amber Himmler1,
  2. Monica Eulalia Galarza Armijos2,3,
  3. Jeovanni Reinoso Naranjo2,3,
  4. Sandra Gioconda Peña Patiño3,
  5. Doris Sarmiento Altamirano4,5,
  6. Nube Flores Lazo2,3,
  7. Raul Pino Andrade2,3,
  8. Hernán Sacoto Aguilar2,6,
  9. Lenin Fernández de Córdova2,7,
  10. Cecibel Cevallos Augurto2,3,
  11. Nakul Raykar8,
  12. Juan Carlos Puyana9,
  13. Juan Carlos Salamea2,6
  1. 1Department of Surgery, MedStar Georgetown University Hospital, Washington DC, District of Columbia, USA
  2. 2Department of Surgery, Hospital Vicente Corral Moscoso Cuenca, Cuenca, Ecuador
  3. 3College of Medicine, Universidad de Cuenca, Cuenca, Ecuador
  4. 4College of Medicine, University of Azuay, Cuenca, Ecuador
  5. 5Department of Surgery, Hospital Jose Carrasco Arteaga, Cuenca, Ecuador
  6. 6College of Medicine, Universidad de Azuay, Cuenca, Ecuador
  7. 7College of Medicine, Universidad Católica de Cuenca, Cuenca, Ecuador
  8. 8Department of Surgery, Brigham and Women’s Hospital, Boston, Massachusetts, USA
  9. 9Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
  1. Correspondence to Dr Amber Himmler, Department of Surgery, Washington, 20010, USA; amberhimmler{at}gmail.com
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Is the whole greater than the sum of its parts? The implementation and outcomes of a whole blood program in Ecuador
Amber Himmler, Monica Eulalia Galarza Armijos, Jeovanni Reinoso Naranjo, Sandra Gioconda Peña Patiño, Doris Sarmiento Altamirano, Nube Flores Lazo, Raul Pino Andrade, Hernán Sacoto Aguilar, Lenin Fernández de Córdova, Cecibel Cevallos Augurto, Nakul Raykar, Juan Carlos Puyana, Juan Carlos Salamea
Trauma Surg Acute Care Open Nov 2021, 6 (1) e000758; DOI: 10.1136/tsaco-2021-000758

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Is the whole greater than the sum of its parts? The implementation and outcomes of a whole blood program in Ecuador
Amber Himmler, Monica Eulalia Galarza Armijos, Jeovanni Reinoso Naranjo, Sandra Gioconda Peña Patiño, Doris Sarmiento Altamirano, Nube Flores Lazo, Raul Pino Andrade, Hernán Sacoto Aguilar, Lenin Fernández de Córdova, Cecibel Cevallos Augurto, Nakul Raykar, Juan Carlos Puyana, Juan Carlos Salamea
Trauma Surg Acute Care Open Nov 2021, 6 (1) e000758; DOI: 10.1136/tsaco-2021-000758
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Is the whole greater than the sum of its parts? The implementation and outcomes of a whole blood program in Ecuador
Amber Himmler, Monica Eulalia Galarza Armijos, Jeovanni Reinoso Naranjo, Sandra Gioconda Peña Patiño, Doris Sarmiento Altamirano, Nube Flores Lazo, Raul Pino Andrade, Hernán Sacoto Aguilar, Lenin Fernández de Córdova, Cecibel Cevallos Augurto, Nakul Raykar, Juan Carlos Puyana, Juan Carlos Salamea
Trauma Surgery & Acute Care Open Nov 2021, 6 (1) e000758; DOI: 10.1136/tsaco-2021-000758
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