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Hi fluffy, well that patient took blood so many times before transfusion reaction episode , I did every thing and its negative, what we did later just advice the dr. to premeditate before transfusion and we provide washed PRBC's …and guess what..its work.

Well , ya that what got me confused because whenever she took platelets or FFP she is ok, but she got this reaction only with PRBC, well I know her latest Hb is 7 thats all what I know for now...tomorrow I will get all the result.

I forget to mention that all the products she received was Irradiated and leucoreduced.

Thanks guys for your fast replay… Malcolm..at the beginning we used to do IS crossmatch but after the last reaction we advice the technologist to proceed for AHG crossmatch and give washed PRBC. maybe that will help...what do you think?

Correction: the 3 screening cell is negative only the AC is positive.

hello every body..few days a go we had this case and i would like to share it with all of you, we might find something to help this patient; We have 14 years old female patient with AML, she was receiving a lot of products lately , but 3 days ago once she relived the blood few minutes later she developed Transfusion reaction, we did all the work up nothing wrong except that we found her post and pre DAT positive and IgG and C3d negative, she developed fever, techacardia and hypotension. the next day she received FFP 2 units , and platelets no problem the day after she received PRBC again the same symptoms..and they stooped the transfusion immediately. ( fever, hypotension and tachycardia...etc) We did all transfusion reaction work up this time..the same except that we have IgG and C3d positive, so we did Elution but its negative. The 3 screening cell is positive only the AC is negative. In immediate spin cross match nothing is compatible...so what do you think about that is TRALI, TACO or just febrile Reaction , and what is the way to solve it? Thanks and happy holiday…

Thanks guys for your replay

Hi guys, i would like to know if there is any cord blood bank center or university hospital that accept international technologist for training in cord blood banking and stem cell..i was trying to email alot of them but there is no response , our hospital would like to establish new cord blood bank and want us to be trained and qualified ...any Idea? thanks alot

well hello rania, its good to know that is sombody here from my home town, iam working in eastern province...what about u? about ur Q...actually we dont do any sickling test for the donors unless when the blood ordered as sickel cell negative unite and that work well for us... keep in touch

well sacramento CA is the city i used to live in for 1 year, when i came from my country i will never forget Sacramento my regards to every place there especialy old sacramento and Delta king