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CONCLUSIONS PHTRBC is increasingly used by Emergency Medical Services, but guidelines on when to initiate transfusion are lacking. We identified the most commonly used transfusion criteria, and these findings may provide the basis for consensus-based pre-hospital transfusion protocols. © 2020 The Authors. Transfusion Medicine published by John Wiley Sons Ltd on behalf of British Blood Transfusion Society.Ecosystem functions provided by forests are threatened by direct and indirect effects of global change drivers such as climate w