richj

Thank You everyone for your responses.
Richard

Thanks for the replies.
I thought maybe there was a new practice being adopted out there where you didn't have to rule out other antibodies, just confirm Anti-D in Moms having received Rhig. 
Heard rumblings in the greater Toronto area.
Thanks
Richard

Thanks Malcolm
We waited on the Oneg platelets. Delivered in 90 minutes despite minor snowstorm.
R

Thanks Malcolm
We waited on the Oneg platelets. Delivered in 90 minutes despite minor snowstorm.
R

Thanks Malcolm
We waited on the Oneg platelets. Delivered in 90 minutes despite minor snowstorm.
R

Hello
Saw a demonstration of the Erytra by Grifols. I believe cards are cheaper and with 8 wells you get more bang for the buck. Thought the instrument had many nice features.
Just looking for any feedback regarding the instrument, cards, reagents etc if anyone has information.
Thanks
 

Hello,
We use Horizon Blood Bank 'Emergency Release to a Known' patient when issuing uncrossmatched units in an emergency. Our staff find  the process of using the computer and attaching the labels somewhat time consuming. Further, under stress to issue units Stat,  they sometimes freeze. (despite periodic training)
Is there a quicker more stress free process to issue unmatched blood using HBB or a process that involves quick release of units followed by computer entry afterwards? Even non Horizon Blood Bank. Is there a best practice consensus for speed and simplicity? Or should the approach be to have an algorithm in Emerg and OR establishing reasonable time lines for unmatched units?
Thanks,
 
Richard
 

Thank you for your responses.
 
Malcolm,  I performed a tube screen and re crossmatched the possible offending units using saline IAT method. There was no agglutination at the room temperature phase. I was trying to rule out a possible cold antibody but not sure if that is enough to rule out what you suggest. The blood does have to be transfused within 15 minutes once removed from a controlled environment.
 
Galvania, I thought of infected blood (septic shock even) but the blood bag returned looks normal, the patient had no spike in temp and the film is not septic.
 
I guess I would have to check the chart and ask questions regarding hypotonic solutions.
 
Just wanted to get a feel whether our SOP could be ameliorated to help figure out the 'mystery of the disappearing red cells'
 
Thanks
Richard
 

Thank you for your replies.
 
The titre is quite low and the method is gel.
 
Malcolm, if television dramas which depict some pretty morally debased individuals are a true reflection of our contemporary society, your third possibility may require some further investigation. However I'm going with the naturally occurring Anti-E instead of the unnaturally broken nose.
 
Thanks
 
Richard