Blood Bank Guy Essentials Podcast 086CE: Scary Stories from the Transfusion Service with Mark Fung and Jay Hudgins
Oct 30, 2020
In this thrilling discussion, Dr. Mark Fung, a pathology professor at the University of Vermont, and Dr. Jay Hudgins, medical director at USC, share chilling real-life scenarios from blood banking. They navigate complex cases, like managing severe anemia in an 18-year-old, emphasizing timely decisions. The duo also tackles emergency blood supply challenges in trauma care, highlighting the necessity of effective communication. Plus, they delve into the management of RH antibodies and the urgency of treatment during critical transfusion situations that can be life or death!
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Transfusing with Warm Autoantibodies
- When dealing with warm autoantibodies and incompatible cross-matches, focus on patient stability and mental status changes.
- Administer blood if there are mental status changes even before completing full compatibility workups.
Managing Antibodies in Emergencies
- In emergency surgery with patients having anti-little C and anti-big E antibodies, communicate inventory and limitations clearly with clinical teams.
- Use cell saver and partially compatible units as needed, monitor patient, and save compatible units for postoperative care.
Approaching ITP with Poor Platelet Response
- For ITP patients with intracranial bleeding and poor platelet response, consider continuous platelet drip and adjunct therapies like vitamin K and cryoprecipitate.
- Optimize coagulation and hematocrit to enhance platelet function during critical bleeding.