Immediate Next Steps (Next 30 Days)

1 Executive Leadership Approval
High Priority Week 1-2

Present this proposal to DCAS executive leadership and board for approval to proceed.

Responsible: Proposal team lead + CEO office

2 Form Implementation Committee
High Priority Week 2-3

Assemble multidisciplinary team to oversee program development.

Responsible: CEO + Medical Director

3 Initiate Stakeholder Outreach
High Priority Week 3-4

Begin conversations with key external partners.

Responsible: Implementation Committee Chair + Government Relations

4 Conduct Detailed Needs Assessment
Week 3-4

Analyze DCAS data to inform program design.

Responsible: DCAS Data Analytics + Medical Director

Key Program Milestones

Month 3

Regulatory Approval & Blood Supply Agreement

Month 6

Equipment Purchased & Training Materials Developed

Month 9

Paramedics Trained & Protocols Finalized

Month 12

Pilot Program Launch - First Blood Transfusion

Stakeholder Engagement Strategy

Hospital Partners

Engagement Approach:

  • Present to trauma center medical directors
  • Collaborate on protocols and handover procedures
  • Establish joint quality assurance processes
  • Arrange for blood product rotation

Timeline: Months 1-3

Blood Banks

Engagement Approach:

  • Negotiate blood product supply agreements
  • Establish low-titer testing protocols
  • Create inventory management systems
  • Develop emergency resupply procedures

Timeline: Months 2-4

Government Agencies

Engagement Approach:

  • Secure Ministry of Health approval
  • Align with Dubai Healthcare Authority standards
  • Obtain necessary licenses and permits
  • Explore potential funding support

Timeline: Months 1-6

DCAS Staff

Engagement Approach:

  • Present program vision to all paramedics
  • Address concerns and gather input
  • Recruit pilot program volunteers
  • Build excitement and buy-in

Timeline: Ongoing from Month 1

Success Metrics & KPIs

How we'll measure program success

Primary Outcome

24-hour and 30-day survival rates

Utilization

Number of transfusions performed monthly

Time Metrics

Time from EMS arrival to transfusion initiation

Safety

Transfusion reaction rate and adverse events

Operational Excellence

Blood wastage rate, protocol compliance, scene time impact

Clinical Impact

Vital sign improvement, hospital transfusion needs, ICU days

Program Quality

Staff satisfaction, training completion, competency scores

Risk Mitigation Strategies

Risk: Blood Supply Shortages

Mitigation:

  • Establish agreements with multiple blood banks
  • Maintain emergency inventory reserves
  • Develop contingency protocols for shortages
  • Participate in blood donation campaigns
Risk: Equipment Failure

Mitigation:

  • Purchase FDA-approved, proven equipment
  • Implement preventive maintenance schedule
  • Maintain backup equipment inventory
  • 24/7 monitoring and rapid response protocols
Risk: Staff Resistance

Mitigation:

  • Early and transparent communication
  • Involve frontline staff in planning
  • Comprehensive training and support
  • Celebrate early successes publicly
Risk: Regulatory Delays

Mitigation:

  • Engage regulators early in process
  • Align with international standards (THOR-AABB)
  • Build flexible timeline with buffer
  • Leverage government relations expertise

Communication & Change Management

Internal Communications

External Communications

Partner Communications

The Time to Act is Now

Evidence is Overwhelming

100+ studies prove this saves lives

Path is Clear

Proven implementation frameworks exist

Leadership Opportunity

DCAS can lead the Middle East

Next Step: Executive Decision

We recommend immediate approval to proceed with Phase 1 planning

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