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enable hospitals identify current compare national data explain continued fall red cell identify target specialties provide a baseline pbm initiatives provide denominator data shot period study total units transfusion rate per 1000 inhabitants mean age medical surgical o g known 1999 2000 9774 42 7 62 7 51 6 40 7 6 3 1 4 2004 9003 2009 8025 36 63 2 61 9 33 1 5 0 64 2 29 4 6 4 reduction mostly elective surgical 5080 age group invited nhs private hospitals supplied nhsbt record clinical indicatio

the development online instructional video aid skills teaching intra operative cell salvage set up shona l baxter rn bsc pgcert ed 1 objectives background aims methods results future direction 2 challenges implementing ics organisations challenges implementation iocs 21 identify training issues a direct reason using iocs ukscag uk report 2011 6 4 8 2 21 59 3 multiple challenges training resources lack clinical interest lack funding stated effect training usage cs coordinator appt cs coordinator

significant improvement management major obstetric haemorrhage a rotem guided algorithm using fibrinogen concentrate dr shubha mallaiah consultant anaesthetist clinical lead blood transfusion tom bryson department anaesthesia background largest maternity unit uk used units may caught us now total number women delivered 2013 7983 total caesarean sections 2060 25 8 electives 957 emergencies 1103 largest maternity unit uk handicapped site haematology lab available 0830 hrs 2100 hrs monday friday 08

serological case studies interactive martin maley rci nicole thornton ibgrl chair mark williams rci bbts harrogate 2014 the interactive bit voting buttons answers anonymous discussion encouraged see this a microphone participate discussion case study 1 martin case 74 year female diagnosis pre op hb 80g l antibody screen weakly positive antibody id xm 2 units which routine initial tests abo d rh k iat panel enzyme panel 1 2 3 4 results group a rhd positive rh pheno c c both mixed field e e kmost

fifty ways fail patient haemolytic transfusion reactions nearly fifty ways fail patient haemolytic transfusion reactions acute haemolytic transfusion reaction ahtr definition fever symptoms signs haemolysis either during 24 hours transfusion confirmed one following fall hb rise ldh positive dat positive cross match delayed haemolytic transfusion reaction dhtr definition fever symptoms signs haemolysis occurring 24 hours transfusion confirmed one following fall hb failure increment rise ldh incom