I discussed this with one of our Consultant Haematologists - we're the Irish
National Bone Barrow Transplant Centre, so they should have some idea!!
Not easy to do - many false-positive crossmatches. Apparently something to
do with the newer automated antibody screens which rely on diffusion through
gel-bead plates.
A group CAN be done, by spinning down first, but they really hate it and
can't feel confident about the safety issues of the result.
-----Original Message-----
From: Ian McConnell [mailto:[log in to unmask]]
Sent: 27 September 2000 19:06
To: [log in to unmask]
Subject: Re: Intraosseous aspirate
Cliff
this is a really interesting issue.
Thought I'd enquire as to what the situation is in our hospital, senior MLSO
in the Labs nearly had a stroke at the suggestion of using I/O aspirate.
Said categorically no but would chase it up with the medics. I phoned my
counterpart in Yorkhills Sick Kids hospital Glasgow. After consulting their
lab staff the word was they could do type specific but not full cross match
but would'nt be happy doing it and wouldn't entertain U&Es. We teach
everyone to send the aspirate when we're covering fluid resuscitation and
drug therapy in kids. It's mentioned on PALS and APLS and John Eaton's 2nd
Ed Essentials in Immediate Medical mentions sending the aspirate
specifically for S&G.
So - turns out we've all been talkign mince all these years.
Well done for raising my attention to it.
Cheers
Ian McConnell
RTO ALS Instructor
Law Hospital
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