Desoki Posted September 30, 2010 Share Posted September 30, 2010 Can I use incompatible different blood group in case of emergency like B+ to O+ pt or AB+ to O+ due to shortage of blood? Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted September 30, 2010 Share Posted September 30, 2010 (edited) NO!!! :no::no: Edited September 30, 2010 by Malcolm Needs heathervaught 1 Link to comment Share on other sites More sharing options...
AMER Posted September 30, 2010 Share Posted September 30, 2010 please don't try.......................................................................................................................... Link to comment Share on other sites More sharing options...
Likewine99 Posted September 30, 2010 Share Posted September 30, 2010 Absolutely not. Link to comment Share on other sites More sharing options...
JOANBALONE Posted September 30, 2010 Share Posted September 30, 2010 Never with red cell transfusions. It is fine with plasma products such as FFP, platelets and cryo. Link to comment Share on other sites More sharing options...
Liz Posted October 1, 2010 Share Posted October 1, 2010 No! The patient will die!! Link to comment Share on other sites More sharing options...
Dalrie Posted October 1, 2010 Share Posted October 1, 2010 That would be a disaster!Can I use incompatible different blood group in case of emergency like B+ to O+ pt or AB+ to O+ due to shortage of blood? Link to comment Share on other sites More sharing options...
Steven Jeff Posted October 1, 2010 Share Posted October 1, 2010 No! The patient will die!!Hi LizWhilst not wishing to condone it I have on record (by process of elimination) an O Rh(D) postive patient who received 4 units of B Rh(D) Negative blood. The patient did not have a clinical transfusion reaction and was discharged non the wiser. The only reason it became known, was on a subsequent reversal of colostomy procedure, blood was required and the previous blood group discreprancy was noted because it had been written on the request form - no computers in the early 90s.HOWEVER MOHAMMAD DO NOT TRANSFUSE ABO INCOMPATIBLE RED CELLS RegardsSteve Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted October 1, 2010 Share Posted October 1, 2010 Hi LizWhilst not wishing to condone it I have on record (by process of elimination) an O Rh(D) postive patient who received 4 units of B Rh(D) Negative blood. The patient did not have a clinical transfusion reaction and was discharged non the wiser. The only reason it became known, was on a subsequent reversal of colostomy procedure, blood was required and the previous blood group discreprancy was noted because it had been written on the request form - no computers in the early 90s.HOWEVER MOHAMMAD DO NOT TRANSFUSE ABO INCOMPATIBLE RED CELLSRegardsSteveI agree Steve that the odd miracle like that happens, BUT, conversely, there are group O patients around who will have an acute haemolytic transfusion reaction when you show them a photograph of a red cell of a different ABO blood group.The trick is to sort out which patient is which, before you transfuse blood that is incompatible on the major side.I, for one, can't do this trick!!!!!!!!!!!!:peaceman::peaceman: Link to comment Share on other sites More sharing options...
Steven Jeff Posted October 1, 2010 Share Posted October 1, 2010 Malcolm, I confess I cannot do this trick either. The only reason I remember this case so well is because I was the BMS 'On-call' the night of the reversal and I could not believe that the patient had survived the previous transfusion. As the lead BMS in transfusion the subsequent investigation was challenging. I mentioned that there was no clinical transfusion reaction, however a review of the post transfusion chemistry results implicated haemoloysis had taken place. Dare I say it, but the nursing notes noted darkish urine without raising any suspicions.Steve Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted October 1, 2010 Share Posted October 1, 2010 Dare I say it, but the nursing notes noted darkish urine without raising any suspicions.SteveDon't you just love the little darlings!!!!!!!!!!!!!They report a temperature rise of 0.1 degrees, or that the patient shivered once, but dark urine - No, let's ignore it!:rage::rage: Link to comment Share on other sites More sharing options...
newBB Posted October 4, 2010 Share Posted October 4, 2010 i have a question also in case of shortage of blood . can i pooled several diffrenct units of PRBC to make up adult unit . but i do the xmatach seperately before i pool them . Link to comment Share on other sites More sharing options...
Eagle Eye Posted October 5, 2010 Share Posted October 5, 2010 If you are talking about giving RBC NO!!!!!PLEASE patient will DIE.......Be prepared for Lawsuits..... Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted October 5, 2010 Share Posted October 5, 2010 i have a question also in case of shortage of blood . can i pooled several diffrenct units of PRBC to make up adult unit . but i do the xmatach seperately before i pool them .May your God help you if you are not totally and absolutely aspectic in doing this.You will be sued from here to Kingdom come if your patient gets septicaemia!I would avoid doing this like the plague.:shocked::shocked: Link to comment Share on other sites More sharing options...
Steven Jeff Posted October 5, 2010 Share Posted October 5, 2010 i have a question also in case of shortage of blood . can i pooled several diffrenct units of PRBC to make up adult unit . but i do the xmatach seperately before i pool them .Why pool them? Cross-match and issue without pooling. You would be asking for trouble otherwise.Steve Link to comment Share on other sites More sharing options...
Liz Posted October 5, 2010 Share Posted October 5, 2010 No of course not!!! These are not platelets nor cryo. Please issue each crossmatched packed Red Blood cell unit separately. Thank you.Are your Policies and procedures based on the AABB standards?Which agency inspects you?How about internal audits? Link to comment Share on other sites More sharing options...
mprandealr Posted October 5, 2010 Share Posted October 5, 2010 At times one wonders whether patients do actually survive DESPITE the treatment! In this case I do not know how and as for pooling:cries: Please Lord (read here whichever and ALL gods that may help) forgive them as they no not what they do:confused:How are we teaching our Transfusion scientists, or should I dare say are we educating our Transfusion Scientists:( Link to comment Share on other sites More sharing options...
jbrun Posted October 5, 2010 Share Posted October 5, 2010 (edited) Please Lord (read here whichever and ALL gods that may help) forgive them as they no not what they do:confused:AMEN! Edited October 5, 2010 by jbrun Link to comment Share on other sites More sharing options...
JOANBALONE Posted October 5, 2010 Share Posted October 5, 2010 Hi newBB, I am not sure I understand your question:"i have a question also in case of shortage of blood . can i pooled several diffrenct units of PRBC to make up adult unit . but i do the xmatach seperately before i pool them ." What do you consider an adult unit? What volume of units do you have? Can you elaborate a little?thanks,JB Link to comment Share on other sites More sharing options...
babsglab Posted October 5, 2010 Share Posted October 5, 2010 Whoa!!!!! Link to comment Share on other sites More sharing options...
LEGuerraJr Posted October 6, 2010 Share Posted October 6, 2010 Wow.... Link to comment Share on other sites More sharing options...
RWFernando Posted October 6, 2010 Share Posted October 6, 2010 Does anyone feel a slight tug on their lower extremities? Link to comment Share on other sites More sharing options...
EDibble Posted October 6, 2010 Share Posted October 6, 2010 I love your sense of humor Malcolm. A photograph of a red cell indeed! Link to comment Share on other sites More sharing options...
newBB Posted October 9, 2010 Share Posted October 9, 2010 NO!!! :no::no:sorry my question was not clear, i mean in blood shortages can i pooled same blood group pediatric units togehter to make an adult units from diffrent donors . Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted October 9, 2010 Share Posted October 9, 2010 sorry my question was not clear, i mean in blood shortages can i pooled same blood group pediatric units togehter to make an adult units from diffrent donors .Fair enough, but then I would refer you to my reply in post 14 of this thread.:ohmygod::ohmygod::shocked::shocked: Link to comment Share on other sites More sharing options...
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