9 November 2026 (Monday) - BTLP-TACT Exercise

Can you believe it - I got yet another snarky email saying I’m not doing enough BTLP-TACT exercises so here we go again…

I was presented with two cases:

 

86241 – a seventy-three year-old chap with alcoholic liver disease needing group and save.

He grouped as O Rh(D) Positive with antibody screen positive in all three cells. I performed antibody screens. The enzyme screen was positive in cells 3 and 5 corresponding with anti-E, and the IAT screen was positive in cells 1, 3, 5, 6, 9 & 10 corresponding with anti Fy(a).

 

76686 – a forty-one year-old chap with sepsis also needing group and save.

He grouped as Rh(D) Positive but the ABO group was indeterminate. With a cell group of A but a reverse group of O, this is one for NHSBT.

His antibody screen was negative though.

 

I got the thumbs-up…