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Tue May 25 12:23:46 BST 2010

In blood banking, the main goal is shelf life and availabilty/supply. It was
when I worked at GW (which took care of President Reagan post gunshot in
'81, I might add! He famously inquired whether the sugeon was a Republican.)
ours was one of the 1st facilities to have rbc washing systems. The size of
a small room, it theoretically reduced transfusion reactions, most of which
were idiopathic and not crossmatch error. Newer technology also allowed for
components to be frozen and therefore available for much longer periods of
time, say for a Factor 8 deficiency pt. In the case of a bleeding pt, we
sometimes poured it in type specific. I am not certain any of those
practices are still done.

I will never forget my 1st DIC-- a postpartum woman who pretty much emptied
out our FFP. As a new medical technologist at the bench, I earned my
paycheck that shift.

cmm

On Tue, May 25, 2010 at 4:29 AM, Dr Timothy Hardcastle <
dr.tchardcastle at absamail.co.za> wrote:

> Charlene
>
> Whole blood works - we have access to about 6 units (less than 48 hours
> old), before we go to component. Same outcomes as 1:1:1!
>
> Having said that - old blood in RSA is anything over 96hours as our
> turnover is that quick; we often only have a 12 hour supply available at
> any one time!
> Tim
>
> Dr T C Hardcastle
> M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
> Principal Specialist Trauma Surgeon /
> Honorary Senior Lecturer UKZN Dept Surgery
> Deputy Director - IALCH Trauma Service
> Durban, South Africa
>
> > well stated. perhpas we need to go back to the days of whole blood vs:
> > componenttherapy.
> >
> > cmm
> >
> > On Mon, May 24, 2010 at 10:40 AM, Gross, Ronald <
> > Ronald.Gross at baystatehealth.org> wrote:
> >
> >> I would echo Norm's experience, and support the work by Holcomb,
> >> Spinella
> >> et al.  My first real experience with the 1:1:1 practice was in Iraq in
> >> 2003, and I brought the concept home to use in our centers.  We too have
> >> the
> >> issue with randomizing the study, but I often wonder how I can randomize
> >> a
> >> therapy that I am convinced really makes a difference - I
>
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-- 
Blessed are the cheesemakers, for they will bring Gouda!
--cmm 3/10

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