I must
admit to being a tad miffed about getting an email from an automated system
saying that “… you may need to complete further TACT participations to
improve your engagement target with the system” when I’ve just had two
weeks holiday and everyone else tells me that I do far more BTLP-TACT exercises
than they do… But here goes.
I had two
cases
79798 – a sixty-eight-year-old
chap with CML needing two units of blood for tomorrow.
He grouped
as A Rh(D) Negative with antibody screen positive in cells 1 & 3. I
requested antibody panels. The IAT panel was positive in cells 1 3 6 9 & 10
which corresponded with anti Fy(a) but did not exclude anti-Cw or anti-Lu(a)
The enzyme
panel was negative.
According
to BTLT-TACT this excludes anti-Cw (although according to reality it does
not)
I selected
two A Rh(D) Negative units which were also Fy(a) negative. There was only one A
Rh(D) Negative Fy(a) Negative Lu(a) Negative unit
92280 - an eighteen-year-old chap requiring group & save. He grouped as A Rh(D) Positive with a negative antibody screen
I got the green light…
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