Episode
Blood on Board: Everything is bigger in Texas
- Podcast
- EMS One-Stop
- Published
- May 28, 2026
- Duration seconds
- 2778
- Processing state
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Summary
Texas is taking prehospital whole blood to scale. In this second installment of the Blood on Board series, the conversation moves from pioneering local programs to a statewide initiative backed by legislation, trauma system collaboration and a $10 million investment in EMS blood capability. Host Rob Lawrence welcomes Dr. Jeff Jarvis, chief medical officer and system medical director, Fort Worth Office of the Medical Director; Dr. C.J. Winckler, deputy medical director for the San Antonio Fire Department; and Jorie Klein, director of EMS-Trauma Systems Section, Texas Department of State Health Services. From San Antonio’s early adoption to Fort Worth’s operational maturity and the Texas Department of State Health Services’ statewide rollout, this episode examines how Texas built one of the most ambitious prehospital blood programs in the country. The discussion goes beyond clinical theory. The guests tackle implementation, logistics, blood stewardship, wastage concerns, rural access, legislative strategy and the realities of getting physicians, transfusion medicine specialists, EMS leaders and lawmakers aligned around a shared mission. The episode also explores the expanding use of whole blood beyond trauma, including GI bleeds, obstetrics and surgical hemorrhage, while reinforcing the operational mantra repeated throughout the show: systems save lives. | MORE: Blood on board: Lessons from Sacramento and LA County Fire Impactful quotes “You can’t quarterback it from your office. You have to be engaged and be out there with them.” — Jorie Klein “Little did I know that it would take almost every waking minute of my life to get blood on an ambulance.” — Dr. C.J. Winckler “We’re not improving overall mortality yet, but we are improving mortality in the first six hours.” — D…