22 October 2026 (Thursday) - BTLP-TACT Exercise


With a few minutes before a hospital appointment I thought I might do a BTLP-TACT exercise.

I had one case – a forty-one year-old woman in theatre needing four units for a PPH.

She grouped as O Rh(D) Positive with a negative antibody screen.

I selected four units of O Rh(D) Positive K Negative CMV Negative

I got the green light.

22 October 2026 (Thursday) - Transfusion Evidence Library Update

ARTICLE OF THE MONTH

TOP ARTICLES

A scoping review of reversible cerebral encephalopathy syndromes following blood transfusion in the settings of anemia and clinical recommendations
Ali HT, Nouh Y, Obadi A, Habib I, Abutawahina K, et al. Neurol Sci. 2026 Sep 17;47(10).

Intravenous Immunoglobulin Add-On in Newly Diagnosed Idiopathic Inflammatory Myopathies: A Randomized Clinical Trial
Özkaynar P, Evers S, Kamperman R, Smithuis F, Eftimov F, et al. JAMA Neurol. 2026 Sep 14.

Low-dose baricitinib plus danazol in primary immune thrombocytopenia: a randomized, controlled phase 2 trial.
Zhao, P., et al. (2026). Nature Communications.

AINAR trial: A randomized controlled trial to assess the usefulness of artificial intelligence-based game to conquer needle fear in blood donors
Meher R, Patidar GK. Transfus Clin Biol. 2026 Sep 7.

Efficacy and safety of thalidomide (1 vs 2 mg/kg/d) in transfusion-dependent thalassemia: A Non-Inferiority Trial
Kakkar S, Mahajan A, Sharma RA, Radhakrishnan N, Manglani M, et al. Blood Adv. 2026 Sep 1.

Intravenous ferric carboxymaltose and exercise capacity in iron-deficient kidney transplant recipients: a randomised, placebo-controlled trial in the Netherlands
Vinke JSJ, Eisenga MF, van der Vaart A, van Lieshout CJ, Dolmans HWGM, et al. EClinicalMedicine. 2026 Sep 1;99:104169.

Minimizing blood sampling in preterm infants
Nissimov S, Sibrecht G, Weerasekara I, Bartocci M, Bruschettini M, et al. Cochrane Database Syst Rev. 2026 Aug 26;8(8).

A Phase IIa, Double Blind, Randomized, Placebo Controlled, Parallel, Multicentre, Proof-of-Concept Study to Evaluate the Efficacy and Safety of Desidustat Oral Tablet for Treatment of Sickle Cell Disease
Desai M, Solanki B, Hathila M, Asati V, Shah S, et al. Eur J Haematol. 2026 Aug 25.

Continuation versus discontinuation of intravenous oxytocin in the active phase of labour
Boie S, Uldbjerg N, Bor P, Thornton JG, Le Ray C, et al. Cochrane Database Syst Rev. 2026 Aug 25;8(8).

20 October 2026 (Tuesday) - Talking Twaddle


I posted this to my Facebook feed, but it seems somehow relevent here too...

19 October 2026 (Monday) - BTLP-TACT Exercise


 I thought I might do another BTLP-TACT exercise. I was presented with two cases
 
05898 – a sixty-one year-old chap in out-patients needing a pre-operative group and save.
His ABO group was uninterpretable as there was no reaction in anything. One for NHSBT. His Rh(D) group was negative.
His antibody screen was negative.
 
72428 – a fifty-two year-old chap also needing group and save following over-anticoagulation.
He grouped as A Rh(D) Positive and also had a negative antibody screen.
 
I got the thumbs-up which, bearing in mind my last few goes, came as something of a relief. 

19 October 2026 (Monday) - NEQAS 2606 BF & 2603 DF

I got the results of NEQAS 2606BF today
 
2606BF1 looked unremarkable to me, and the expert opinion couldn’t find anything amiss with it either.
 
In 2606 BF2 I saw Macrocytosis,  hypersegmented neutrophils, and thrombocytopenia. This was what the expert opinion found, but didn’t give any diagnosis
 
I’ll take that as a win…
 
I also got the results of 2603 DF. My results were (with expected range in brackets)
 
Neut      53% (43 – 63)
Lymph  40%  (27 – 47)
Mono      5%   (3 – 7)
Eos         2%   (0.7 – 1.4)
Baso       0%   (0 – 1.4)
 
My eosinophils were a tad high, but if I counted another two hundred cells… which is why we have automated this test.

16 October 2026 (Friday) - BTLP-TACT Exercise

Having failed the two previous BTLP-TACT exercises (together with an email telling me I’m not doing enough of them) I thought I might do another.
I was presented with two cases:
 
71741 – a child of less than two years of age with coffee ground vomit needing group and save
He grouped as A Rh(D) Negative with a negative antibody screen.
 
16621 – a ninety-four year-old chap needing four units of blood for a GI bleed.
He grouped as O Rh(D) Positive also with a negative antibody screen.
I selected four units of O Rh(D) Positive blood.
 
I got it right…

16 October 2026 (Friday) - Sharing e-books

In amongst the puerile nonsense filling the work-related Facebook pages is (occasionally) a link to a text book in .pdf format. I’ve been downloading them when I see them, but it occurred to me that rather than just leaving them in my downloads folder (where I will never see them again) I might make a sharable folder on my Google drive. After all Google gives me a squillion plabtobytes of free webspace with which I’m not doing very much at all. It only took a minute to set up. I quite like e-books for the simple reason that they take up a whole lot less space than a real book. At the moment there’s only half a dozen e-books in there. In the fullness of time I might need to figure out something of a Dewey Decimal Classification system to sort them…