At the beginning of the week I was
whinging that it was raining. Today it’s rather hot. But the end result is the
same. I’d rather not be outside, so I might as well do a BTLP-TACT exercise.
I was presented with one case – a thirty-two
year-old woman with sickle cell disease needing a two unit top up transfusion.
Her ABO group was indeterminate with
reactions in everything, but she was clearly Rh(D) Positive.
The antibody screen was negative.
I selected two units of HbS-negative O
Rh(D) Negative blood. If nothing else that would stuff up the Rh group next
time…
I got it right…

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