27 May 2026 (Wednesday) - Westgard QC Update


The nice people at Wesgard QC sent their update today. You can read it by clicking here. I did. I’d suggest you do to, but I’ve got a degree in maths and I found it heavy going.

The headline “Has hematology quality bled out?” caught my eye, but has it? I’d have to take Mr. Westgard’s word for it if he says it has. The British Prime Minister Benjamin Disraeli was believed to have ranted about "Lies, damned lies, and statistics" when describing the deceptive power of numbers to bolster weak arguments. He might have a point here, he might not. I don’t know.
 
Looking back in time to yesterday I think I might have made my own (albeit informal) Westgard rule… due to a minor problem the details of which are irrelevant here we had to leave non-urgent blood films over the bank holiday weekend, and yesterday I spent the afternoon catching up. A few patients who were clinically stable had blood films made every day (the reasons for which are irrelevant here), and as I reviewed the blood films I noticed that the results didn’t change much from day to day. That’s not a bad QC measure, is it?

27 May 2026 (Wednesday) - BTLP-TACT Exercise

I’ve got half an hour before I need to go to the late shift…
I was presented with two cases:
 
37192 – a twenty-one year-old woman in maternity needing group and save
Her ABO group was indeterminate, but she was Rh(D) Positive with a negative antibody screen
 
46614 – a ninety-six year-ol d chap needing four untits of FFP for bleeding varices.
He grouped as O Rh(D) Positive with antibody screen positive on cells 1 & 3. I performed antibody panels.
The enzyme panel was negative throughout. The IAT panel was positive in cells 1, 3, 6, 9 and 10 corresponding with anti-Fy(a)
 
FFP is NOT recommended for bleeding varices https://pubmed.ncbi.nlm.nih.gov/33969607/ so I didn’t issue any
 
I got the green light…

25 May 2026 (Monday) - Found on the Internet

I found this on one of the Facebook groups I follow this morning… It’s not bad really…


22 May 2026 (Friday) - UKAS Update

The nice people at UKAS sent their update today. You can read it by clicking here. I always do as I struggle to understand exactly what UKAS actually does, and how what it does is relevant to my daily round.

One thing they do is to charge various employers for their services… and it would seem that some of that money has been spent on buying three hundred and fifty trees which have been planted by UKAS staff who’ve been given a day’s leave to do so.

I’m even more mystified…


22 May 2026 (Friday) - BTLP-TACT Exercise


 
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…

21 May 2026 (Thursday) - Transfusion Evidence Library Update

The nice people at the Transfusion Evidence Library sent their update today. As always there was too much to take in at one sitting:

ARTICLE OF THE MONTH

TOP ARTICLES

Angio-Seal plug-based versus dual ProGlide for transfemoral hemostasis in transcatheter aortic valve replacement: a systematic review and meta-analysis.
Alnomani, Y.R., et al. (2026). Journal of Thrombosis and Thrombolysis. [Record in progress].

Low-dose vs. standard care Iv human albumin during large-volume paracentesis in patients with liver cirrhosis: a systematic review.
Bot, K., et al. (2026). Liver International.

The efficacy of interactive communication interventions for motivating blood donation: a systematic review.
Boult, L., et al. (2026). Vox Sanguinis. [Record in progress].        

Red blood cell transfusion in neurocritical patients: an updated systematic review and meta-analysis.
Fu, Y., et al. (2026). BMC Anesthesiology.

Effect of donor exclusion criteria on blood safety and volume of donations: a systematic review of modelling studies.
Mosselmans, L., et al. (2026). Bulletin of the World Health Organization.

Blood donation and subjective wellbeing: a cross-sectional survey and a randomized trial.
Ou-Yang, J., et al. (2026). Frontiers in Psychology.

Therapeutic plasma exchange improves short-term survival in patients with acute-on-chronic liver failure: a randomized controlled trial.
Swaroop, S., et al. (2026). Hepatology. [Record in progress].           

The effect of stress ball and music on anxiety, distress, and pain levels during platelet apheresis donation: randomized controlled trial.
Urtekin, D., et al. (2026). Transfusion Medicine Reviews. [Record in progress].

18 May 2026 (Monday) - BTLP-TACT Exercise

I had planned to mow the lawn, but it’s raining… so here we go. I was given one case – an eighty-two year-old chap with PR blood needing group and save.
He grouped as AB Rh(D) Positive with a negative antibody screen.
I got it right.