16 October 2025 (Thursday) - BTLP-TACT Exercise

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

 

93705 – an eighty-seven year-old chap needing two units of blood due to bleeding during TURP

The chap grouped as A Rh(D) Positive… but a weak Rh(D) Positive. That goes as .

The antibody screen was negative, as was the IAT panel I requested by mistake

I issued two units of O Rh(D) Negative blood

 

55384 – an eighty-eight year-old chap requiring group and save prior to a fem-pop bypass

The chap grouped as A Rh(D) Positive with antibody screen positive in all three cells. I requested antibody panels.

The IAT panel was positive in cells 1, 3, 5, 6, 9 and 10 corresponding with anti-Fy(a) and anti-E but not excluding anti Cw or anti-Lu(a)

The enzyme panel was positive in cells 3 and 5 corresponding with anti-E and excluding anti Cw and anti-Lu(a)

 

I got it right.