The blood banks at my site have encountered an interesting situation, and I'm hoping someone has some insight on how to handle it. Here's the scenario: one hospital in our system issues blood for air transport to take with them when they leave to pick up a patient, the blood is transfused during transport, but the patient isn't transported to the same site that issued the blood. So, assuming that the air transport was able to collect a sample, who is responsible for crossmatching the sample, the site that issued the blood, or the site that received the patient, and logistically, how do you get the sample and the segments to the same place? Do you even crossmatch the blood at all at that point? What if the patient is delivered to a hospital outside your system? In my heart, I really feel that even emergent transfusions should be crossmatched eventually, but I'm not sure how to make sure it happens. Thanks in advance for any opinions! Sandi