12 October 2025 (Sunday) - BTLP-TACT Exercise

Time for another BTLP-TACT exercise.

I was presented with two cases:

 

41096  – a fifty-eight year-old chap with factor VIII deficiency needing two units of cryo

He grouped as A Rh(D) Positive with a negative antibody screen

https://www.utmb.edu/bloodbank/cryoprecipitate says “Cryo should not be used for patients with Hemophilia A (Factor VIII deficiency) unless other recombinant and/or virally inactivated factor VIII preparations are not available” so I didn’t issue any.

  

64441 – a forty-seven year-old woman needing two units of irradiated blood prior to stem cell transplant.

She grouped as B Rh(D) Positive with antibody screen positive in cell 1. I performed antibody panels. The IAT and enzyme panels were positive in cells 2, 4, 5, 8, 9 and 10 corresponding with anti- Jk(b) but not excluding anti Lu(a)

I issued the only unit of O Rh(D) Positive blood that was Jk(b) Negative

 

I got the green light.