Feeling absolutely washed out I deliberately
activated the BTLP-TACT thingy this evening. Sometimes I might not be on top
form when having to make these decisions…
It presented me with two cases.
- 58406 – an 85 year male who was Pre TURP needing two units crossmatched for tomorrow
- 91454 a 65 year female with AAA needing 6 units right away
So I cracked on with the lady with the AAA
first. The blood group was inconclusive. The reverse group didn't match forward
group and control was positive. This is *exactly*
what you don’t want when you aren’t feeling full of beans, and is *exactly* what this simulator is for. As
the antibody screen was negative I had no choice but to give then O Negative –
I gave the 6 HT Neg units.
I then went back to the chap who was pre-TURP.
He was O Pos with positive screen in cell 2. The IAT and enzyme panel were both
positive in cells 3 & 5 which looks like anti-E with nothing else possibly
masked. So I qave 2 units O Pos E Neg
And I got the green light. I was rather pleased
about that.
