27 October 2025 (Monday) - BTLP-TACT Exercise

Time for another BTLP-TACT exercise. I was given two cases:
 

79360 – a thirty-three year-old woman with sepsis requiring group and save.

The ABO group was A, but the RH group wasn’t as clear-cut as it might be, so I’m calling in indeterminate and would send it to NHSBT.

The antibody screen was weakly positive in cells 2 and 3 so I performed panels.

The IAT panel was weakly positive in cells 3, 4, 5, 6, 7, 8. 9 and 10 corresponding with anti-c abut nor excluding anti-E, anti-Lu(a) or anti-Kp(a). The enzyme panel was positive in the same cells giving the same interpretation.

 

55590 – a ninety-seven year-old chap needing two units of blood for a fractured shaft of femur.

He grouped as A Rh(D) Positive with a negative antibody screen. I selected two units of A Rh(D) Positive blood

 
I got it right.