14 November 2024 (Thursday) - BTLP-TACT Exercise

Time for another BTLP-TACT exercise. I was given two cases:
 

85624 – a sixty-nine year old chap in A&E needing four units of blood as soon as possible

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

I selected four units of O Rh(D) Positive blood

 

12582 – a forty-three year old woman needing four units of FFP and two units of cryo for a liver transplant

She grouped as O Rh(D) Negative with antibody screen positive I cells 1 and 3. I requested antibody panels. The IAT panel was positive in cells 1, 3, 6, 9 and 10 corresponding with anti-Fy(a) but does not exclude anti Lu(a) and anti Cw. The enzyme panel was negative which (in this plane of existence) does exclude anti Lu(a) and anti Cw.

I selected four units of FFP and two units of cryo

 

I got the thumbs-up