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Blood Transfusions

The development of weaponry used during both the First and Second World Wars meant that injuries sustained during the conflicts were far more catastrophic than had been previously seen. The bullets and artillery fire could easily penetrate the soft tissue and muscle, as well as fracture and splinter bones. As a result, blood loss was of immediate concern for the medical services.

In the early stages of the First World War, blood transfusions had to be done through a process of direct transfusion from a donor to a recipient. This was risky and logistically problematic however, as the donor needed to be the correct blood type, and there always had to be a donor present to donate blood. 

Towards the end of the First World War, Sodium Citrate was discovered as an anticoagulant, this stopped the blood from clotting and meant that blood could be stored for long periods of time.

Reproduction of image by A. E. Elias labelled 1st Contact and relating to the early work of the Canadian medical services in blood transfusion.

Reproduction of image by A. E. Elias labelled 1st Contact and relating to the early work of the Canadian medical services in blood transfusion.

pouring citrate soloution into blood bottles. © IWM (Art.IWM ART LD 3588)

pouring citrate soloution into blood bottles. © IWM (Art.IWM ART LD 3588)

image showing a medical officer stemming blood from a casualty

image showing a medical officer stemming blood from a casualty


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DID YOU KNOW…?

Anticoagulants are medicines that help prevent blood clots.


The Second World War marked a key turning point for blood transfusions, as the techniques to use and store blood (such as new inventions in refrigeration) differed from the beginning of the First World War. As a result, during the Second World War direct transfusions were a thing of the past, instead, the British Medical Services were administering blood through stored blood in mobile blood banks.

A bleeding team loading up its equipment before the Depot go to the Transfusion Centre. Mobile teams belonging to the Army Blood Transfusion Service collect transfusions in towns, factories, villages, and Parish halls in the South and South-West of …

A bleeding team loading up its equipment before the Depot go to the Transfusion Centre. Mobile teams belonging to the Army Blood Transfusion Service collect transfusions in towns, factories, villages, and Parish halls in the South and South-West of England. © IWM (H 29522)

Army Blood Transfusion Service: A Fijian medical orderly administers an emergency plasma transfusion during heavy fighting on Bougainville. © IWM (NZ 1445)

Army Blood Transfusion Service: A Fijian medical orderly administers an emergency plasma transfusion during heavy fighting on Bougainville. © IWM (NZ 1445)

A sister watching a patient as he receives blood, which is seen suspended from the deck above the ward.© IWM (A 18034)

A sister watching a patient as he receives blood, which is seen suspended from the deck above the ward.© IWM (A 18034)