One
of the most frustrating parts of my job is the ever-changing recommendations
and standard practices.
For
example back in the day, one unit of fresh frozen plasma had to be given after
every four units of blood. Had to be given (!)
No excuses (!)
Nowadays
you’d be shot for doing that with no other rationale.
Years
ago we used to have whole blood for transfusion. We’d give a unit of blood;
cells, plasma, platelets, the lot.
Then
“component therapy” was seen as the
way forward. It makes sense only to give the part of blood that is needed. I’ve
not seen whole blood in a blood bank for twenty-five years (or more).
But
now it seems there
is a place for whole blood again…
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