Algorithm for Reviewing Requests for Red Cells

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Presentation transcript:

Algorithm for Reviewing Requests for Red Cells Clinical Request Patient actively Bleeding? No Yes Surgical Blood loss anticipated? Issue blood following emergency issue procedures Yes Refer to MSBOS No Chronic transfusion dependent anaemia? (eg SCD/Thal) Yes Issue component No Agreed No Hb <70g/l? More that one unit requested? Suggest single unit transfusion followed by clinical and Hb review Yes Yes No Yes Refused Symptomatic cardiovascular disease Hb <80g/l Severe sepsis/traumatic brain injury/acute cerebral ischaemia Hb <90g/l No Refer request to Haematologist NOTE: This Algorithm is a guide and the list is not exhaustive. If there are any queries regarding the request you should contact the haematologist for clinical review.