It took 45 minutes for firefighters to get a 35-year-old man out of a “heavily damaged” car following a car crash on Saturday, officials said. The man’s injuries were extensive, with low blood pressure, shock and internal bleeding.
Quickly, firefighters and paramedics decided to try a new lifesaving method starting at the crash site: whole blood transfusion.
The method had never been done in Massachusetts before, according to the Canton Fire Department. However, in March, the Canton Fire Department and 25 other cities and towns in Massachusetts worked with Boston Medical Center to launch the first pilot program in Massachusetts history for administering whole blood before a patient reaches the hospital, the press release stated.
On Saturday, the fire department put it into action.
The crash happened in Braintree during the early morning hours, officials said. The Braintree Fire Department and Brewster Ambulance paramedics “swiftly” put in a request to the Canton Fire Department for the whole blood transfusion.
Paramedics put the 35-year-old in the ambulance where Canton Fire Field Transfusion Paramedic Michael White and EMT Jonathan Buckley started the transfusion. On his way to Boston Medical Center, the man’s vital signs improved, according to officials. Once at the hospital, he was taken to surgery.
“This groundbreaking program represents a significant advancement in prehospital care and has already proven its worth in it first use,” said Fire Chief Wendell Robery. “The successful administration of whole blood in the field is a testament to our paramedics’ and EMTs’ training, preparedness and dedication. We are grateful for the collaboration with Boston Medical Center and the support of our neighboring communities.”
Transfusions with specific blood components are common in hospital settings and are often used for trauma but whole blood might be becoming more common.
The leading cause of preventable deaths in the U.S. is massive bleeding caused by a traumatic injury, U.S. News and World Report wrote. Most of the deaths occur within six hours.
In an article by the Boston University School of Medicine, it pointed to a new study that suggested a person who receives whole blood transfusion for severe traumatic bleeding earlier has a greater chance of survival.
“However, if this transfusion is delayed by as little as 14 minutes after arriving at the hospital, the survival benefit is significantly reduced,” the university wrote.
Crisanto Torres, assistant professor of surgery at the school, said in the article that there was a “decrease in survival probability for each minute delay in whole blood transfusion.”
She said she hopes this encourages more hospitals to use whole blood as a standard emergency transfusion product and more consideration for it to be used at the scene of an injury or during transport to the hospital.
In Massachusetts, roughly 1,300 slots for children across Head Start’s 28 agencies have been eliminated in the last three years because federal funding has plateaued over that time, while the cost of running the program continues to rise, according to the Massachusetts Head Start Association. Nationally, Head Start enrollment dropped from 1.1 million kids in 2013 to around 785,000 in 2022, according to research by the Annie E. Casey Foundation.
“If they didn’t get into a Head Start program, they would be sitting at home,” said Brittany Acosta, a Head Start parent in Dorchester.
It’s teachers are drastically underpaid, and there’s a serious need for a rainy day-type fund should the federal government shut down again, the association says. As they’ve done in years past, state lawmakers have offered to provide financial relief, but the Massachusetts Head Start Association’s request for 3 percent above the amount it received last year, an additional $4.6 million to help its staff keep up with the state’s rising cost of living, so far has not been allocated.
Last year, President Trump’s leaked budget proposal revealed he considered eliminating Head Start entirely. Then, in the summer, he cut off Head Start enrollment for immigrants without legal status. And during the fall’s government shutdown, four Head Start centers in Massachusetts closed because they couldn’t access their funding.
Trump’s latest budget proposal shows a fourth year without increasing funding for the program, which was established in the mid-1960s.
Michelle Haimowitz, executive director of the Massachusetts Head Start Association, said the program doesn’t want to eliminate more child slots than it already has, but paying teachers a competitive salary is equally important in order to keep them from leaving for higher paying jobs. Head Start teachers make under $50,000 annually compared to over $85,000 for the average Massachusetts kindergarten teacher.
“It’s an impossible choice,” Haimowitz said. “When we reduce the size of our programs, we’re not reducing the size of the need.”
Massachusetts is one of few states that supplements federal funding for Head Start, and last year it increased the program’s state grant from $5 million to $20 million, adding to the $189 million in federal aid it receives in this state.
“We can’t run a program without giving staff a raise for three years,” Haimowitz said. “Our next fight now is not just for survival, but it’s for thriving and growth.”
The Massachusetts House Ways and Means Committee on Wednesday released its budget, which doesn’t grant Head Start’s request of a 3 percent boost. But state Representative Christopher Worrell filed an amendment for additional funding. Worrell, whose district covers parts of Dorchester and Roxbury, said he loves Head Start’s embrace of culture, recalling one visit to a center where he could smell staff cooking stew chicken, a traditional Caribbean dish.
“I’ve been to dozens of schools throughout the district, and you don’t get that home-cooked meal,” Worrell said. “[The state is] stepping up and doing the best we can with what we have.”
At the Action for Boston Community Development’s Head Start and Early Head Start center in Dorchester, the children of Classroom 7 arrived one Monday morning and dove into bins of magnetic tiles before their teachers, Paola Polanco and Leolina Rasundar Chinnappa, served breakfast. Acosta dropped off her 4-year-old daughter, Violeta, before reporting to her teaching position at the center, where several other Head Start parents also work.
“It’s important for all Head Start parents to have the opportunity to give their child an experience in a learning environment before they actually start kindergarten,” Acosta said.
Beyond providing early education and care to children of low-income families, from birth to age 5, the program helps them access other resources, including mental health services, SNAP benefits, homelessness assistance, and employment opportunities.
It also serves as daycare for parents who might not be able to afford it, while they’re at work.
Research has shown the importance of preschool in a child’s development with one 2023 study, focused on Boston public preschools, finding that it improves student behavior and increases the likelihood of high school graduation and college enrollment.
For Rickencia Clerveaux and Christopher Mclean, the Dorchester Head Start center is the only place they feel comfortable sending their 3-year-old son, Shontz, who is on the autism spectrum. Shontz’s stimming — repetitive movements that stimulate the senses — has reduced, and his speech has improved since he joined the center in 2024, Clerveaux said.
His parents say he’s also come out of his shell. Mclean now drops his son off and gets a simple “bye” as Shontz joins his classmates, he said.
He and Clerveaux said they appreciate the specialized attention Shontz can receive from teachers, such as when staff identified that Shontz might have hearing issues. His parents were able to follow up with their doctor and get Shontz to have surgery to improve his hearing.
“It’s a safe net for parents,” Clerveaux said. “There’s so many ways that him being here helps him grow better.”
Without Head Start, Clerveaux said a lot of pressure would be put on parents to find care for their children, “knowing that they’re already struggling or not getting the ends to meet.”
“That’s a burden for everybody in the community,” she said. “If there’s no funding, there’s no daycare and parents cannot work.”
Lauren Albano can be reached at lauren.albano@globe.com. Follow her on X @LaurenAlbano_.
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Where are layoffs happening in Massachusetts?
As part of the federal The Worker Adjustment and Retraining Notification (WARN) Act, employers in Massachusetts with 50 or more employees are required to provide advance notice of mass layoffs.
The state publishes this data, known as WARN notices, weekly on Fridays. See recent layoff notices.
John Hancock can be reached at john.hancock@globe.com. Follow him @Hancock_JohnD.
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