scholarly journals Administration Safety of Blood Products - Lessons Learned from a National Registry for Transfusion and Hemotherapy Practice

2017 ◽  
Vol 44 (4) ◽  
pp. 240-254 ◽  
Author(s):  
Thomas Frietsch ◽  
Daffyd Thomas ◽  
Michael Schöler ◽  
Birgit Fleiter ◽  
Martin Schipplick ◽  
...  
Keyword(s):  
National Registry ◽  
Lessons Learned ◽  
Blood Products

Developing a National Registry for Hemochromatosis

2016 ◽  
pp. 154-164
Author(s):  
Indu Singh ◽  
Janelle Guerrero ◽  
Michael J. Simmonds
Keyword(s):  
Blood Transfusion ◽  
Hereditary Hemochromatosis ◽  
National Registry ◽  
Red Cross ◽  
Blood Collection ◽  
Healthy Population ◽  
Red Cell ◽  
Blood Products ◽  
Patient Health ◽  
Red Cell Transfusion

Hereditary Hemochromatosis (HH) is a disorder where iron and ferritin concentrations in a patient's blood are much higher than normal healthy levels. The main therapeutic intervention for individuals with HH is removing 300-500 mL of blood every few months to maintain ferritin concentration within acceptable ranges. The blood collected during these venesections is usually discarded as there is a belief that blood with high levels of ferritin are not suitable for blood transfusion purposes. Australian Red Cross Blood Services voluntarily collects blood from donors for subsequent use in blood transfusion. Annually more than 700 thousand units are transfused within Australia and there is a constant need for new donors given the significant imbalance between supply and demand of blood products. Besides red cell transfusions, the Red Cross also issues donor blood for development of many other blood products essential for patient health care. The HH blood can currently be used for other blood products if not for red cell transfusion. However, there is evidence to suggest that there is no significant difference between the red cells of the normal healthy population compared to those from HH patients. Australian Red Cross has developed a mobile computer application (High Ferritin “app”) as they have started collecting blood from HH patients. Though there is little or no awareness about the existence and use of this High Ferritin app in general HH population, their doctors and nurses collecting their blood for therapeutic purposes. This chapter describes possibility of saving and utilizing the blood collected from hemochromatosis patients for therapeutic purposes. A national hemochromatosis patients registry, in collaboration with High Ferritin app (HFa) developed by Australian Red Cross Blood Services, accessible to the patients, their doctors and Red Cross Blood Collection Sservices 24 hours a day anywhere in the country can allow the patients to donate the blood collected for therapeutic purposes at any affiliated blood collection center in the country after they automatically get a message either by email or text message after their blood results have been reviewed by their doctor and they are required to go for venesection.

Paucity of Blood Products Transfused Following the I-35W Bridge Disaster.

Blood ◽  
2007 ◽  
Vol 110 (11) ◽  
pp. 4026-4026
Author(s):  
Jed Baron Gorlin ◽  
Sertac Kip ◽  
Dawn Hansen ◽  
Jonathan Pohland
Keyword(s):  
Hurricane Katrina ◽  
Trauma Center ◽  
Local Community ◽  
Blood Donation ◽  
Community Response ◽  
Lessons Learned ◽  
Blood Products ◽  
Blood Center ◽  
Phone Calls ◽  
Level 1

Abstract Following 9/11 and Hurricane Katrina there has been a concerted effort to prepare and organize for disasters. Blood transfusion, a key element of disaster response, has been previously documented to be an important factor in decreasing fatalities from disaster-related injuries, provided there is an organized system of transfusion. Reviews of blood usage following other domestic disasters have generally revealed only modest use of transfusable products that generally do not overwhelm local supplies of blood. We conducted a survey to enumerate the amount of blood and blood products used in Minnesota following the I- 35W bridge collapse that took place on 8/1/07. The bridge is for a major interstate highway that crosses the Mississippi river collapsed under the weight of evening commute traffic. The bridge normally carries 140,000 vehicular trips daily. About 100 individuals presented to local hospitals the evening or day following the incident and 9 individuals died at the scene or by the time of arrival at the trauma center. All critically injured were brought to Minnesota’s largest level 1 trauma hospital that fortuitously was adjacent (less than 1/2 mile) to the disaster site. Within 1/2 hour of the event, the local community blood center sent additional blood to all customer hospitals likely to receive patients, prior to any estimates of the number of injured patients expected at that hospital. However, no blood products were transfused for bridge accident victims at the other surrounding hospitals. Of 25 patients presenting by ambulance to the level 1 trauma center, only 5 received blood following the event. Only 2/5 received emergency group O units, and since both were male, they each received 2 group O Rh(D) + before being switched to type specific units. In total, 14 units of red cells were transfused the evening of the disaster to four of those patients. 30 additional units were required for the 5 patients requiring transfusion over the ensuing week-10 days following hospitalization. One apheresis platelet, 2 jumbo cryoprecipitate units (derived from 600 ml plasmapheresis donations) and 4 FFP were also administered to these same 5 patients the evening of 8/1. The FFP included 2 units of thawed AB plasma that are maintained in the transfusion service for immediate release to emergency patients at all times. Media response uniformly encouraged blood donation and community response was overwhelming resulting in one local community blood center receiving over 11,000 phone calls in the two days following the disaster. The usual collection of ∼400 units/day was doubled to almost 800 units and on the second day after the disaster (8/3/07) the blood center issued press releases noting that the immediate needs had been met. Lessons learned include the importance of disaster drills to prepare staff for such events. In addition, the best disaster preparation is to have adequate supplies at all times, since components from donations that follow the event may not be available for several days.

Risk Factors for Bad Outcomes in Incisional Hernia Repair: Lessons Learned From the National Registry of Incisional Hernia (EVEREG)

2018 ◽  
Vol 96 (7) ◽  
pp. 436-442 ◽  
Author(s):  
José Antonio Pereira ◽  
Blanca Montcusí ◽  
Manuel López-Cano ◽  
Pilar Hernández-Granados ◽  
Laura Fresno de Prado
Keyword(s):  
Risk Factors ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Incisional Hernia Repair ◽  
National Registry ◽  
Lessons Learned

scholarly journals Treating the endotheliopathy of SARS‐CoV ‐2 infection with plasma: Lessons learned from optimized trauma resuscitation with blood products

Transfusion ◽  
2021 ◽  
Vol 61 (S1) ◽  
Author(s):  
Shibani Pati ◽  
Erin Fennern ◽  
John B. Holcomb ◽  
Mark Barry ◽  
Alpa Trivedi ◽  
...  
Keyword(s):  
Lessons Learned ◽  
Blood Products ◽  
Trauma Resuscitation

Lessons Learned From Coaching Postsecondary Students With Traumatic Brain Injury

2020 ◽  
Vol 5 (1) ◽  
pp. 88-96
Author(s):  
Mary R. T. Kennedy
Keyword(s):  
College Students ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Sense Of Self ◽  
Scientific Evidence ◽  
Sudden Onset ◽  
Lessons Learned ◽  
Speech Language Pathologists ◽  
The Brain ◽  
Exhaustive List

Purpose The purpose of this clinical focus article is to provide speech-language pathologists with a brief update of the evidence that provides possible explanations for our experiences while coaching college students with traumatic brain injury (TBI). Method The narrative text provides readers with lessons we learned as speech-language pathologists functioning as cognitive coaches to college students with TBI. This is not meant to be an exhaustive list, but rather to consider the recent scientific evidence that will help our understanding of how best to coach these college students. Conclusion Four lessons are described. Lesson 1 focuses on the value of self-reported responses to surveys, questionnaires, and interviews. Lesson 2 addresses the use of immediate/proximal goals as leverage for students to update their sense of self and how their abilities and disabilities may alter their more distal goals. Lesson 3 reminds us that teamwork is necessary to address the complex issues facing these students, which include their developmental stage, the sudden onset of trauma to the brain, and having to navigate going to college with a TBI. Lesson 4 focuses on the need for college students with TBI to learn how to self-advocate with instructors, family, and peers.

Experiences With and Lessons Learned From Developing, Implementing, and Evaluating a Support Program for Older Hearing Aid Users and Their Communication Partners in the Hearing Aid Dispensing Setting

2020 ◽  
Vol 29 (3S) ◽  
pp. 638-647 ◽  
Author(s):  
Janine F. J. Meijerink ◽  
Marieke Pronk ◽  
Sophia E. Kramer
Keyword(s):  
Large Scale ◽  
Hearing Aid ◽  
Critical Discussion ◽  
Lessons Learned ◽  
Research Note ◽  
Support Program ◽  
Large Sample Size ◽  
Long Term Effects ◽  
Communication Program ◽  
Communication Partners

Purpose The SUpport PRogram (SUPR) study was carried out in the context of a private academic partnership and is the first study to evaluate the long-term effects of a communication program (SUPR) for older hearing aid users and their communication partners on a large scale in a hearing aid dispensing setting. The purpose of this research note is to reflect on the lessons that we learned during the different development, implementation, and evaluation phases of the SUPR project. Procedure This research note describes the procedures that were followed during the different phases of the SUPR project and provides a critical discussion to describe the strengths and weaknesses of the approach taken. Conclusion This research note might provide researchers and intervention developers with useful insights as to how aural rehabilitation interventions, such as the SUPR, can be developed by incorporating the needs of the different stakeholders, evaluated by using a robust research design (including a large sample size and a longer term follow-up assessment), and implemented widely by collaborating with a private partner (hearing aid dispensing practice chain).

Maximizing Outcomes in Group Treatment of Aphasia: Lessons Learned From a Community-Based Center

2014 ◽  
Vol 24 (3) ◽  
pp. 100-105 ◽  
Author(s):  
Darlene Williamson
Keyword(s):  
Group Treatment ◽  
Treatment Protocol ◽  
Lessons Learned ◽  
Group Program ◽  
Community Based ◽  
Multiple Treatment ◽  
Use Of Technology ◽  
Communication Impairments ◽  
Treatment Settings

Given the potential of long term intervention to positively influence speech/language and psychosocial domains, a treatment protocol was developed at the Stroke Comeback Center which addresses communication impairments arising from chronic aphasia. This article presents the details of this program including the group purposes and principles, the use of technology in groups, and the applicability of a group program across multiple treatment settings.

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