11 June 2025 (Wednesday) - Getting the BTLP-TACT Wrong

Time for a BTLP-TACT exercise. It gave me two cases:
 
52493 – a fifty-two year-old chap in theatre needing four units of blood for a GI bleed
 
He grouped as A Rh(D) Positive with a negative antibody screen.
The software had presented me with IAT Ab ID which was negative throughout. What was that all about?
 
I issued four units of A Rh(D) Positive K Negative blood
 
 
72993 – a sixty-two year-old chap in out-patients with thalassaemia needing two units of blood tomorrow.
 
He grouped as B Rh(D) Positive with a negative antibody screen.
The software had also presented me with IAT Ab ID which was negative throughout. What was that all about?
 
I issued two units of B Rh(D) Positive K Negative blood
 
I got the thumbs-down. It claimed the D group of the second case was uninterpretable. Was it? Bearing in mind I can’t call it up, I’ll have to trust it… Possibly my attention was on the unwanted IAT screens it had randomly generated? It pays to stay alert…

 

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