Time for another BTLP-TACT
exercise. I was presented with two cases:
62583 – a forty-nine year-old woman in out-patients needing a pre-operative group & save.She grouped as A Rh(D) Positive with a negative antibody screen11943 – a twenty-four year-old chap in A&E needing two units of blood within the hour. He grouped as O Rh(D) Positive with antibody screen positive in cells 1 & 3. I requested antibody panels.
The IAT panel was positive in cells 1, 3, 6, 9 & 10 corresponding with anti-Fy(a) but not excluding anti Cw or anti-Lu(a). The enzyme panel was negative throughout. According to BTLP-TACT this excludes anti Cw or anti-Lu(a)
I selected two units of ORh(D) blood that were Fy(a) negative
I got the green light.
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