13 June 2025 (Friday) - BTLP-TACT Exercise

Having stuffed up the BTLP-TACT in the week I thought I’d best have another go. It presented me with two cases:
 

05245 – a thirty-one year-old woman needing four units of FFP for pre-operative reversal of warfarin therapy.

 She grouped as O Rh(D) Positive with antibody screen positive in cell 2. I requested antibody panels. The IAT and enzyme panels were positive in cells 3 & 5 corresponding with anti-E.

PCC would be better than FFP for reversal of warfarin therapy, so I didn’t issue any

 

71170 – a thirty year old woman needing two units of cryo for factor VIIII deficiency.

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

Factor VIII concentrate would be a far better treatment, so I didn’t issue cryo.

 

I got it right… which was a result.