6 December 2017 (Wednesday)- Transfusion Guidelines Update

Another update from the Transfusion Guidelines people came into my in-box this morning:

The following items have been updated within the document library.


6 December 2017 (Wednesday) - Transfusion Guidelines update

An update from the Transfusion Guidelines people came into my in-box this morning:



 Changes have recently been made to the Transfusion Guidelines which affect the Deceased and Live Tissue and Whole Blood and Components Donor Selection Guidelines.
Date    30 October 2017
Subject     Surgery - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    30 October 2017
Subject     Endoscopy  - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    30 October 2017
Subject     Bleeding Disorder - Applies to all Donor Selection Guidelines except Whole Blood
 
Date    30 October 2017
Subject     Bleeding Disorder - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    30 October 2017
Subject     Syphilis - Applies to all Donor Selection Guidelines except Whole Blood
 
Date    30 October 2017
Subject     Syphilis - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    30 October 2017
Subject     Sex Worker - Applies to all Donor Selection Guidelines except Whole Blood
 
Date    30 October 2017
Subject     Sex Worker - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    30 October 2017
Subject     Non-Consented Exposure to Human Body Fluids  - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    30 October 2017
Subject     Inoculation Injury - Applies to all Donor Selection Guidelines except Whole Blood
 
Date    30 October 2017
Subject     HTLV  - Applies to all Donor Selection Guidelines except Whole Blood
 
Date    30 October 2017
Subject     HTLV - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    30 October 2017
Subject     Homosexual and Bisexual Individuals - Applies to the Deceased and Live Tissue Donor Selection Guidelines  
 
Date    30 October 2017
Subject     Homosexual and Bisexual Individuals - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    30 October 2017
Subject     HIV - Applies to all Donor Selection Guidelines except Whole Blood
 
Date    30 October 2017
Subject     HIV - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    30 October 2017
Subject     Hepatitis C  - Applies to all Donor Selection Guidelines except Whole Blood
 
Date    30 October 2017
Subject     Hepatitis C - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    30 October 2017
Subject     Hepatitis B - Applies to all Donor Selection Guidelines except Whole Blood
 
Date    30 October 2017
Subject     Hepatitis B - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    02 October 2017
Subject     Complementary Therapy - Applies to all Donor Selection Guidelines except Whole Blood
 
[/www.transfusionguidelines.org.uk/document-library/documents/change-notifcation-no-31-2017/download-file/Change%20Notification%2031%20-%20Complementary%20therapy%20WBDSG.pdf]Change Notification No. 31 - 2017
Date    30 October 2017
Subject     Complementary Therapy - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    30 October 2017
Subject     Body Piercing - Applies to all Donor Selection Guidelines except Whole Blood
 
Date    30 October 2017
Subject     Body Piercing - Applies to the Whole Blood and Components Donor Selection Guidelines
 
Date    30  October 2017
Subject     Addiction and Drug Abuse - Applies to all Donor Selection Guidelines except Whole Blood
 
Date    30 October 2017
Subject     Tissue Safety Entry - Applies to all Donor Selection Guidelines except Whole Blood
 
Date    30 October 2017
Subject     Blood Safety Entry - Applies to the Whole Blood and Components Donor Selection Guidelines

3 December 2017 (Sunday) - Christmas Disease

This interesting case came up on my Facebook feed this morning:

A young Hepatitis B positive pregnant patient had some routine tests ordered by her infectious diseases practitioner. Her LFT's showed very mild derangement as expected, her FBE was normal, however her clotting screen was unusual.

You can see the entire article by clicking here… it was a case of Christmas disease.

I’ve mentioned before that my CPD coagulation-wise could be improved. More case studies of this sort would be good…


30 November 2017 (Thursday) - HCPC Newsletter

The HCPC newsletter came this morning. Quite a lot of general interest… not so much of the specifics for me…




Easy navigation
Welcome to issue 72 of HCPC In Focus
We have a jam-packed issue for you this month, with information on three separate government consultations and guidance from the Information Commissioner's Office on what to do if you process health data.

We also take a look at two recently published publications, our revised guidance on confidentiality, which provides advice for registrants on how they should handle and share information about service users, and our Fitness to practise annual report 2017. There are also partner recruitment opportunities that will be of interest if you would like to be involved in the work of your regulator.
  
Look out for the next issue of HCPC In Focus in January 2018.
       
Daniel Knight, Editor

30 November 2017 (Thursday) - Another Case Study


I found this case study on a Facebook group I follow:

19 Year old African American patient from the southeastern region of the United States, presented to a primary care facility with a one month history of a "lump" under the jaw.
See laboratory data below:
CBC
WBC 113.0 H 10^3/ul
HGB 11.3 L GM/DL
MCV 87.3 fl
PLT 40 L 10^3/ul
DIFFERENTIAL
92% BLAST
Comment:….”


You can see the full case study by clicking here

30 November 2017 (Thursday) - Case Study

I found this case study on a Facebook group I follow:

A 32-year-old male patient is being evaluated for a lung mass seen on a CT scan for chest pain. He is otherwise healthy and his physical exam is normal. Complete blood count shows leukocyte count 7900/cmm. hemoglobin 10.2 g/dl. and indices Hct-30.4,MCV-54.4,Mch- 18.2,Mchc-33.6. platelet count 289.000/cmm.

The case is presented here – with several comments.

For myself – I’d like to know the patient’s ethnic origin. I’m thinking thalassaemia intermedia





28 November 2017 (Tuesday) - Transfusion News Update

The latest update from the “Transfusion News” people came today. As always loads of note… but from a personal perspective I wish it came in Kindle format.



Web view
Transfusion News
Restrictive Transfusions Threshold Safe for Cardiac Surgery Patients

November 22, 2017
While a restrictive transfusion strategy has been advocated for most patients, a restrictive approach for cardiac surgery patients may put them at a greater risk of anemia-induced tissue hypoxia or worse outcomes. A recent multicenter, randomized trial published in The New England Journal of Medicine compared a restrictive threshold (transfuse when hemoglobin drops below 7.5 [Read More]


Genetic Variation in the Fc-gamma Receptor Gene is Associated with Protection against RBC Alloimmunization

November 16, 2017
Genetic variation in the Fc-ɣ receptor gene has been shown to be associated with some auto- and alloimmune diseases. Researchers investigated the relationship between the gene’s variation and protection against RBC alloimmunization in patients with sickle cell disease (SCD). In a case-control study of SCD patients from The Netherlands and France, the genetic variation in [Read More]


Blood Donor Questions with Mary Townsend

November 27, 2017 | BBGuy Podcast
Why on earth do we ask blood donors so many questions? Today’s episode will answer that question and many others you never knew you needed to know! [Listen Now]
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