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comment_29822

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?

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comment_29823

NO!!!

:no::no::no::no:

Edited by Malcolm Needs

comment_29826

please don't try..........................................................................................................................

comment_29833

Never with red cell transfusions. It is fine with plasma products such as FFP, platelets and cryo.

comment_29856

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?
comment_29857
No! The patient will die!!

Hi Liz

Whilst 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

Regards

Steve

comment_29858
Hi Liz

Whilst 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

Regards

Steve

I 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::peaceman::peaceman::peaceman:

comment_29861

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

comment_29862
Dare I say it, but the nursing notes noted darkish urine without raising any suspicions.

Steve

Don'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::rage::rage::rage:

comment_29951

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 .

comment_29963
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::shocked::shocked::shocked:

comment_29967
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

comment_29968

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?

comment_29975

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:(

comment_29977
Please Lord (read here whichever and ALL gods that may help) forgive them as they no not what they do:confused:

AMEN!

Edited by jbrun

comment_29985

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

comment_30037

I love your sense of humor Malcolm. A photograph of a red cell indeed!

comment_30116
NO!!!

:no::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 .

comment_30117
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::ohmygod::ohmygod::shocked::shocked::shocked::shocked:

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