Time for another BTLP-TACT exercise. I
was presented with two cases:
32477 – an eighty-five year old chap
with liver disease who was bleeding who needed four units of FFP.
FFP is recommended for
bleeding with a liver disease, but seeing how the labelling on the sample bore
no relation to that on the accompanying paperwork I rejected the request.
91691 – a seventy-six year-old chap who’d
been involved in an RTA and needed four units of blood right away.
His group came up positive in every well
and so was utterly uninterpretable. Fortunately the antibody screen was
negative so I issued four units of O Rh(D) Negative blood.
I got it wrong… but the software showed
everything I’d done as having a green tick. What was that all about?
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