I got that right…not that I will ever be
deciding on the therapies, but it really helps if I know what the drugs are,
what conditions they are for, and how they work.
Here’s the first reference, and
here’s the second.
This is (supposed to be) a reflective diary by a (not very) anonymous biomedical scientist who works somewhere in the south of England. One day this diary may well be submitted to the Health and Care Professions Council as evidence of ongoing continual professional development....
10 November 2025 (Monday) - Warm AIHA
10 November 2025 (Monday) - BTLP-TACT Exercise
It’s pouring hard; the dog walk was a
washout, and so with not a lot else on the agenda I thought I might as well do
a BTLP-TACT exercise.
I was presented with one case – a thirty-eight
year-old woman in theatre with a ruptured ectopic pregnancy needing six units
of blood. She grouped as A Rh(D) Positive with a negative antibody screen. I
selected six units of A Rh(D) Positive K Negative blood
I got it right.
6 November 2025 (Thursday) - BTLP-TACT Exercise
I suppose I should really do a BTLP-TACT
exercise…
I had one case – a seventy year old woman
supposedly needing FFP for reversal of warfarin therapy.
Her ABO group was indeterminate (cell
group A, no reaction in reverse group) but her Rh(D) group was negative.
The antibody screen was weakly positive
in cells 1 and 2 so I performed antibody panels.
The IAT and enzyme panels were positive
in cells 1, 2 and 3 corresponding with anti-D but not excluding anti-Cw.
Bearing in mind warfarin
isn’t recommended for the reversal of warfarin therapy, I didn’t issue any.
I got it right this time…
5 November 2025 (Wednesday) - TACO-Related Fever
Here’s something
to think about… back in the day transfusion trigger limits were a *lot*
higher than they are these days. We’d give three or four units of blood where
these days we’d only give one. And back in the day we were investigating quite
a few alleged transfusion reactions which were characterized by post
transfusion fevers. We’d do blood cultures… but nothing ever grew.
Were we seeing fevers related to transfusion associated circulatory overload?
4 November 2025 (Tuesday) - Fritsma Factor Newsletter
The Fritsma
Factor newsletter appeared in my in-box this morning. As always it’s a
rather useful source of information on matters haemostatic…
4 November 2025 (Tuesday) - Information Governance
I did my e-learning on information
governance today. Governance… it’s a simple concept really. I have access to
confidential information. I only discuss it with those who have a bona-fide
reason to know what I know, and I keep my trap shut to everyone else. I make
sure that no one could accidentally find out what I know… simple, really.
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