Spring
2008 HAABB Meeting:
Program Overview
Thursday,
May 8, 2008
ABO Identity Crisis: Failure Case Report
David Baker, St. Louis
Children's Hospital, St. Louis, MO
David
presented a case of an ABO incompatible bone marrow transplant who
developed an
unclear ABORh typeing, warm auto antibody, underlying allo
antibodies and
possible EBV virus influence on B cell antibody production.
Guidelines for Use of FFP and Platelets
Dr. Lowell Tilzer,
University of Kansas Hospital, Kansas City, MO
Dr Tilzer
presented current indications for use and overuse of these components as
well as recent changes in component therapy following trauma.
He suggested strategies for reducing our overuse of these products based
on the results of several small studies showing no reduction in bleeding
in patients transfused with abnormal PT/INR results
5/7/5 Day
Platelets
Pat Parton, Community Blood Center,
Kansas City, MO
Pat
described the process changes required to implement 7 day platelets.
This
process was part of the PASSPORT study which has been closed.
OB Obstacles
Marcia Shackleford, CLS (NCA)
MT (ASCP) St.
Luke’s Hospital, Kansas City, MO
Marcia presented a unique
collection of "mini" case histories all involving OB patients
that she encountered while working second shift. The presentation, "OB
Obstacles" included the following scenarios: A classic case of HELLP
syndrome, an exciting delivery in the Emergency Room involving a
ruptured aortic aneurysm, a problematic anti-cellano in a prenatal
workup, and the unusual diagnosis of an amniotic embolism with a positive
outcome. All of the cases were fascinating!
Hemotherapy
in Solid Organ Transplantation
Dr. Daniel
Smith MD, Indiana University School of Medicine, Indianapolis, IN
Dr. Smith
presented current practice in solid organ transplants, He reviewed graft
compatibility, blood component support, pre-transplant transfusion protocols,
immunologic complications, the role of aphereis in solid organ transplants.
Prions and
Transfusion
Dr. Richard Galbraith MD,
Lawrence Memorial Hospital, Lawrence, KS
Dr. Galbraith presented a case
study of a typical vCJD infection in the UK. The cause of this
infection and other types of prion diseases were reviewed. Inherited, sporadic
and Iatrogenic forms were discussed. The blood transmission and deferral policies
due to vCJD were reviewed and a new test for screening test for patients with
increased risk was explained.
Who Wants
to Be A Millionaire
Mary Kowalski, MT(ASCP) SBB, Community
Blood Center, Kansas City, MO
The audience
was quizzed on their blood banking skills through a fun, interactive
game.
Friday, May 9, 2008
Where in the
World is Honshu's Diego?
MaraLou Rhoads, MT(ASCP), Stormont-Vail
HealthCare, Inc, Topeka, KS
The case starts with a positive
DAT and an eluate reacting with all cells but the auto control.
Previous
known allo antibodies are not detected, but three new allo antibodies are
identified.
Still, a phenotypically matched unit is incompatible.
Wow! What is going on? A molecular
phenotyping by BioArray HEA BioChip
reveals the patient is negative for Diego B. Diego is
a very high
frequency antigen with <0.01 - 0.1% of Asian and South American Indians being
negative. Compatible blood is most likely to be found by screening a
relative or the international
rare donor program.
Shaking Our
Serologic Tree
Steve Pierce,
SBB (ASCP), Retired, Kansas City, MO
Steve
provided a very interesting look at the professional who lead before us in
forming
professional organization and promoting the field of blood banking.
Pictures and personal
stories made this a fascinating topic.
FRE-e-CME:
Untangling the web of e-Learning
Dana
Van Laeys, MA, CLSpMS, MT, CLS, St. Luke’s Hospital, Kansas City, MO
Elizabeth M Jones, MT
(ASCP) BB, St. Lukes Hospital, Kansas City, MO
The era of e-Learning is here!
Beth Jones and Dana VanLaeys from St.
Luke's, KC, presented "FREe-CME: Untangling the Web of e-learning".
The talk covered CE certification (ASCP and NCA) maintenance and
employer expectations, hardware and software requirements, selection and
examples of pertinent websites which provide quality CME opportunities,
and a guided through demonstration of how to access and naviagate an
on-line CE website. Popular websites for generalists as well as those
specific to Blood Bank were provided.
Hemophagocytosis in a 15 year old
Justin Steinert, MT(ASCP) University of Kansas Hospital, Kansas City, KS
Justin
presented a case study from the University of Kansas Hospital involving
serologic
difficulties in the transfusion service and the differential
diagnosis of the patient
based clinical presentation and additional laboratory studies.
Current Reign
of the DNA Kingdom
Bernie Graves, MT(ASCP)
SBB, Community Blood Center,
Kansas City, MO
Bernie gave an overview of the
Bioarray Bead Chip Assay use and result in screening
patients and donor at
Community Blood Center, Kansas City.
Planning
for Pandemic Influenza: Potential Risk to Blood Supply
Dr. Judy Grishaber, DO American
Red Cross, St. Louis, MO
Are you
prepared? It is inevitable an pandemic will occur again. By
reviewing previous
pandemic patterns and looking at current threats, Dr.
Grishaber made the audience think
of how to protect themselves as well as
planning for their department needs in the case
of staffing shortages, blood
shortages and
New
Advances in Trauma Care
Dr. Charles Eby, MD
Washington University School of Medicine, St. Louis, MO
Massive
transfusion. A timely topic as transfusion services are defining massive
transfusion
protocols to provide blood components in a preemptive fashion.
Dr. Eby also summarized the
current status of red cell substitutes.
Sickle Cell
Disease: A Case Report
Laurie Meyer, MT(ASCP) SBB, St. Luke’s
Hospital, Kansas City, MO
Laurie Meyer presented Sickle
Cell Disease: A Case Report. Through a case study, Laurie
described the disease and current treatment options including transfusion.
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