Faculty

Holly O'Byrne

MPA, NP
Whole Blood Coordinator - Lieutenant/Paramedic
DC Fire and EMS

Holly O’Byrne is a Lieutenant/Paramedic and the Blood Program Coordinator for DC Fire and EMS. She integrates evidence-based trauma care, advanced training, and multi-system data collaboration across EMS, hospital, and public health partners. Holly’s work focuses on improving early resuscitation, health equity, and system performance through innovative policies and robust quality improvement frameworks. She has authored peer-reviewed publications, contributed to national clinical practice guidelines, and presented at NAEMSP, EMS World, THOR, and multiple regional blood coalition conferences. Her leadership continues to advance prehospital care, trauma readiness, and lifesaving transfusion practices nationwide.

2026 Sessions

Beyond the Bag: The Essential Blueprint for Designing and Running Prehospital Blood Programs

Beyond the Bag is an intensive full-day workshop that equips EMS leaders, medical directors, and coordinators with the structure, tools, and confidence to build sustainable, data-driven prehospital blood programs. Grounded in the Prehospital Blood Transfusion Coalition (PHBTC) Six Pillars Framework and aligned with AABB Standards for emergency prehospital and scheduled out-of-hospital transfusions, this course translates research into action. Participants will progress through the Six Pillars—Implementation & Needs Assessment, Program Development, Documentation, Logistics, Training, and Quality Assurance—using real-world examples and evidence from landmark trials.

Attendees will engage in applied learning through simulation, data interpretation, and policy design sessions, culminating in a dynamic roundtable discussion focused on integration and sustainability. The day concludes with participants leaving equipped with customizable templates for training validation, quality assurance dashboards, and implementation checklists designed for real-world adoption. Whether your agency is preparing for its first deployment or scaling an existing program, this workshop provides the roadmap to align clinical excellence, operational readiness, and regulatory compliance—bridging the gap between evidence and execution.

Co-Presenter (2 Presenters)

Panelist (3 or more Presenters)

Monday, September 28 1:00–5:00 PM
Room W222 A
Leadership and Management
Faculty

Eric Bank

LP, NRP, FAEMS
Assistant Chief of EMS
Harris County ESD 48 Fire Department

Chief Bank is a fellow of the Academy of Emergency Medical Services, National Association of EMS Physicians. Continuing his distinguished career in Emergency Services, he currently serves as Vice President of the Pre-Hospital Blood Transfusion Initiative Coalition, is a Committee Member of the AABB Pre-Hospital Standards Committee, and Committee Member of the AABB THOR (Trauma Hemostasis and Oxygenation Research) Pre-Hospital Work Group. Mr. Bank is a graduate of EMS Management, Hahnemann University, Philadelphia, PA in 1996. Among his accomplishments, he developed the first ground blood transfusion program in 2016 working with Dr. John Holcomb and the Texas Department of State Health Services, developed several pre-hospital transfusion protocols and was instrumental in the deployment of Low Titer Group O Whole Blood Products for Ground EMS in 2017.

Faculty

Randall Schaefer

DNP, RN
CEO
Schaefer Consulting

Randall Schaefer, DNP, RN, CEN (Lieutenant Colonel, Retired), is a retired US Army Trauma Nurse with multiple deployments who advocates for civilian prehospital blood programs, so we don't forget the hard lessons we learned on the battlefield. She has assisted nearly 90 agencies nationwide in implementing prehospital blood transfusion programs using a standardized process. She is the President of the Prehospital Blood Transfusion Coalition (PHBTC). She serves as a subject matter expert for the Association for the Advancement of Blood and Biotherapies (AABB) Prehospital Emergency and Out-of-Hospital Scheduled Transfusion Standards Working Group Committee and a Technical Expert for the National Institute for Defense Health Cooperation (NIDHC)/National Center for Disaster Medicine and Public Health (NCDMPH) Prehospital Blood Transfusion Implementation initiative supporting the research and implementation strategy of the DOT NHTSA grants.

Faculty

Holly O'Byrne

MPA, NP
Whole Blood Coordinator - Lieutenant/Paramedic
DC Fire and EMS

Holly O’Byrne is a Lieutenant/Paramedic and the Blood Program Coordinator for DC Fire and EMS. She integrates evidence-based trauma care, advanced training, and multi-system data collaboration across EMS, hospital, and public health partners. Holly’s work focuses on improving early resuscitation, health equity, and system performance through innovative policies and robust quality improvement frameworks. She has authored peer-reviewed publications, contributed to national clinical practice guidelines, and presented at NAEMSP, EMS World, THOR, and multiple regional blood coalition conferences. Her leadership continues to advance prehospital care, trauma readiness, and lifesaving transfusion practices nationwide.

Creating Standardized EMS Metrics for Survival in Transfusion and Advanced Resuscitation: The SEMSTAR Project

Yes, I understand

Prehospital blood transfusion is rapidly expanding across EMS systems. Despite this momentum, the field lacks standardized outcome metrics to evaluate effectiveness, safety, operational performance, and equity. Current studies use inconsistent definitions and reporting practices, making it difficult for agencies to compare results, benchmark performance, or identify opportunities for program improvement. The variability in data collection limits the ability to understand which practices contribute to successful patient outcomes and which gaps may compromise safety or program sustainability. To address this, our team developed the first consensus-derived reporting framework for prehospital transfusion programs, modeled after the Utstein criteria for cardiac arrest.

Through a structured consensus process, we convened experts from EMS, trauma surgery, transfusion medicine, and resuscitation science to define essential metrics for evaluating prehospital blood programs. SEMSTAR's resulting framework includes standardized measures of clinical effectiveness, adverse events, operational performance, and patient-reported outcomes—creating a unified structure for transparent, reproducible reporting across systems. This session will present the SEMSTAR consensus-based metrics, demonstrate strategies for integrating them into EMS documentation and quality improvement processes, and highlight opportunities for multi-center collaboration. Participants will leave with actionable tools to strengthen their program's self-evaluation, enhance safety monitoring, and refine protocols using consistent, evidence-based outcome tracking.

Co-Presenter (2 Presenters)

Presenter (1 Presenter)

Wednesday, September 30 2:30–3:30 PM
Room W230 B
Faculty

Holly O'Byrne

MPA, NP
Whole Blood Coordinator - Lieutenant/Paramedic
DC Fire and EMS

Holly O’Byrne is a Lieutenant/Paramedic and the Blood Program Coordinator for DC Fire and EMS. She integrates evidence-based trauma care, advanced training, and multi-system data collaboration across EMS, hospital, and public health partners. Holly’s work focuses on improving early resuscitation, health equity, and system performance through innovative policies and robust quality improvement frameworks. She has authored peer-reviewed publications, contributed to national clinical practice guidelines, and presented at NAEMSP, EMS World, THOR, and multiple regional blood coalition conferences. Her leadership continues to advance prehospital care, trauma readiness, and lifesaving transfusion practices nationwide.

Faculty

Matthew Levy

DO, MSc, FACEP, FAEMS, NRP
Chief Medical Officer / EMS Medical Director
Howard County Fire / Johns Hopkins

Dr. Matthew Levy is an EMS physician, educator, and civic leader with three decades of experience. He holds full-time appointments at Johns Hopkins University in Emergency Medicine and Surgery, serving as Deputy Director of Operational Medicine. Dr. Levy is Medical Director of EMS Education for the American Red Cross and Chief Medical Officer for Howard County Fire and Rescue Services. He also serves as Central Maryland's Regional EMS Medical Director for the Maryland State EMS Agency, MIEMSS. A Fellow of both the American College of Emergency Physicians and the Academy of Emergency Medical Services, and actively participates in local, state, federal, and international organizations focused on prehospital, operational, and disaster medicine.

The Prehospital Blood Hot Seat: Experts Answer Your Hardest Questions

Yes, I understand

Prehospital blood programs are expanding rapidly across the country; however, frontline providers and EMS leaders frequently encounter fundamental questions: When should blood be administered? What are the optimal training protocols? How should RhD status be managed? What strategies ensure long-term sustainability of such programs? Building on the momentum of national initiatives and emerging research, including the growing body of evidence supporting early blood-based resuscitation, this session provides a platform for attendees to pose operational inquiries and receive authoritative responses from the experts shaping the future of prehospital transfusion. Topics encompass clinical indications, safety considerations, cold-chain logistics, quality assurance, research trends, and program sustainability—no subject is beyond discussion.

This live Q&A panel convenes distinguished experts in trauma resuscitation, transfusion medicine, EMS operations, and prehospital research to engage in an open, candid, and efficient discussion tailored for field clinicians, educators, and administrators. Whether your agency is just starting to explore blood products or has a fully mature system, this panel will offer actionable insights, lessons learned, and expert guidance you can take home and apply the very next shift.

Panelist (3 or more Presenters)

Presenter (1 Presenter)

Wednesday, September 30 3:45–4:45 PM
Room W331 A
Clinical Paramedicine
Faculty

Eric Bank

LP, NRP, FAEMS
Assistant Chief of EMS
Harris County ESD 48 Fire Department

Chief Bank is a fellow of the Academy of Emergency Medical Services, National Association of EMS Physicians. Continuing his distinguished career in Emergency Services, he currently serves as Vice President of the Pre-Hospital Blood Transfusion Initiative Coalition, is a Committee Member of the AABB Pre-Hospital Standards Committee, and Committee Member of the AABB THOR (Trauma Hemostasis and Oxygenation Research) Pre-Hospital Work Group. Mr. Bank is a graduate of EMS Management, Hahnemann University, Philadelphia, PA in 1996. Among his accomplishments, he developed the first ground blood transfusion program in 2016 working with Dr. John Holcomb and the Texas Department of State Health Services, developed several pre-hospital transfusion protocols and was instrumental in the deployment of Low Titer Group O Whole Blood Products for Ground EMS in 2017.

Faculty

Matthew Levy

DO, MSc, FACEP, FAEMS, NRP
Chief Medical Officer / EMS Medical Director
Howard County Fire / Johns Hopkins

Dr. Matthew Levy is an EMS physician, educator, and civic leader with three decades of experience. He holds full-time appointments at Johns Hopkins University in Emergency Medicine and Surgery, serving as Deputy Director of Operational Medicine. Dr. Levy is Medical Director of EMS Education for the American Red Cross and Chief Medical Officer for Howard County Fire and Rescue Services. He also serves as Central Maryland's Regional EMS Medical Director for the Maryland State EMS Agency, MIEMSS. A Fellow of both the American College of Emergency Physicians and the Academy of Emergency Medical Services, and actively participates in local, state, federal, and international organizations focused on prehospital, operational, and disaster medicine.

Faculty

CJ Winckler

MD, LP
EMS Medical Director
UT Health San Antonio

C. J. Winckler serves as the deputy medical director for the San Antonio Fire Department, and medical director for North Channel EMS and Wilson County ESD 3. He is also the Texas Emergency Medical Task Force Regin 8 medical director. Dr. Winckler is an associate professor at the University of Texas San Antonio Health Science Center and Texas A&M College Station School of Medicine. He is the Immeidate past President of TX NAEMSP, Chair of GETAC EMS Medical Director’s Committee, and Vice Chair of GETAC Prehospital Whole Blood Task Force. In San Antonio he has developed telemedicine CPR for dispatch, an ECMO prehospital CPR Alert system, and the world’s first prehospital whole blood program to serve an entire metropolitan system.

Faculty

Holly O'Byrne

MPA, NP
Whole Blood Coordinator - Lieutenant/Paramedic
DC Fire and EMS

Holly O’Byrne is a Lieutenant/Paramedic and the Blood Program Coordinator for DC Fire and EMS. She integrates evidence-based trauma care, advanced training, and multi-system data collaboration across EMS, hospital, and public health partners. Holly’s work focuses on improving early resuscitation, health equity, and system performance through innovative policies and robust quality improvement frameworks. She has authored peer-reviewed publications, contributed to national clinical practice guidelines, and presented at NAEMSP, EMS World, THOR, and multiple regional blood coalition conferences. Her leadership continues to advance prehospital care, trauma readiness, and lifesaving transfusion practices nationwide.

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