Discover and read the best of Twitter Threads about #transfusion

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Today's shift has been a rollacoaster of emotions which ended in a very sombre yet stark reminder of the importance of team work,effective communication & most importantly the value of life.#biomedicalscientist #pathology #NHS #Haematology #transfusion @IBMScience

A LONG THREAD:
I started my late shift today at 12pm, I am a Biomedical scientist and I work in the haematology and transfusion laboratories at a busy urban general hospital. I started in the haem dept helping process full blood counts, reviewing results & running countless add on tests.
This is normal for a busy large hospital. I was then asked to pop into the transfusion lab to review my training for manual crossmatches which has now been approved to carry out on analysers. I get as far as starting my crossmatch at 2.15pm, where upon I get a call from
Read 24 tweets
Inspired by @BenMazer and the topic of #platelet #transfusion in #cerebralhemorrhage patients previously taking anti-platelet therapy, I want to take a few minutes to talk about the EVIDENCE in platelet transfusion indications, thresholds, and efficacy. #blooducation
To recap, the PATCH trial (Lancet 2016) concluded that in patients taking anti-platelet medications (aspirin, plavix, etc) who had spontaneous cerebral hemorrhage, platelet transfusion was assc with WORSE outcomes than standard medical therapy.
This is shocking? Right? Here's the classic logic:
-ICH is bad
-ICH is worse if your platelets are iatrogenically broken
-Non-broken platelets are good
-Transfusion of non-broken platelets helps stop the bad bleed
Read 26 tweets

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