Massive Blood Loss
The East of England Regional Transfusion Committee has adopted the Addenbrooke's protocol for massive blood loss in children as a regional document. Local transfusion contact details may be added prior to printing. We are grateful to the Haematology and Paediatric departments of Adenbrooke's Hospital for allowing us to share this.
The East of England RTC and East of England Trauma Network have agreed a protocol for dealing with massive blood loss in trauma patients. Hospitals are welcome to add relevant phone numbers to the version on page 2 of the pdf and display laminated copies.
Both protocols can be found on the policies page.
Acute Transfusion Reactions (ATR)
The East of England Regional Transfusion Committee has produced guidelines for the identification and treatment of acute transfusion reactions so that hospital staff moving around the region's hospitals will find a common and familiar method of dealing with possible transfusion reactions. The guidelines were produced with the assistance of the East of England Transfusion Practitioners Network and ratified by the RTC on 20th June 2013. They are available on the policies page.
The algorithm is based on the flowchart found in the BCSH Guideline on the Investigation and Management of Acute Transfusion Reactions produced in May 2012. The guidelines can be downloaded and your own laboratory and consultant haematologist contact numbers added, prior to printing. Please feel free to publish the document on your intranet, and display it in ward areas where transfusion is likely to take place, or at blood collection points such as blood banks and blood fridges. If you have any queries please contact Jane O'Brien
East of England Transfusion Advice and Discussion Group
The Brentwood User Group, for Transfusion Laboratory Managers at hospitals supplied by
NHSBT Brentwood, has dissolved. It was therefore agreed to expand the Norfolk, Suffolk and
Cambridge TADG to include all TLMs or their representatives, from all hospitals in the East of
England. The group will continue to be chaired by Lisa Haythornthwaite but while she is on
maternity leave, the deputy Chair, Martin Pooley, will take over. Meetings will be held on 11th
September and 27th November at the Cambridge Donor Centre.
It's in the bag! Updates on the appropriate use of blood components
This education event was held on 19th September 2013 and was very well received. We are grateful to all speakers for sharing their expertise and time. Some presentations are available on the education page.
Become a blood boffin
This study day was held on 12th June 2013. We are very grateful to all the speakers for their expertise and for allowing their presentations to be made available on this website.
Transfer of blood
The East of England RTC has produced regional guidelines on the transfer of blood with patients (pdf 20KB) and accompanying blood and components transfer forms (Word doc 276KB). These were derived from the national document.
Management of iron deficiency anaemia in pregnancy
Queen Elizabeth Hospital in King's Lynn has developed guidance for the management of iron deficiency anaemia in pregnancy and childbirth (pdf 152KB) which has considerably reduced the need for transfusion in the Obstetric and Gynaecology department. Presentations on this procedure at the 'Mums, Babies and Blood' study days for midwives in 2010 and 2011 generated a great deal of interest. The Regional Transfusion Team feel that this is an example of good practice and staff at the Queen Elizabeth Hospital are happy to share their guidance. For further reading on the subject see the UK Guidelines on the Management of Iron Deficiency in Pregnancy (pdf 272KB) produced by the British Committee for Standards in Haematology (BCSH).
Audit of incidents of massive haemorrhage
The RTC has agreed a minimum dataset (Word doc 128KB) for the audit of incidents of massive haemorrhage. This will ensure that relevant comon factors are audited across the region's hospitals and will allow for collation of data. It will also help determine the level of compliance with the NPSA Rapid Response Report. Hospitals may, of course, add further data for their own audits.
Infrequently asked questions
These questions and answers were compiled by the Better Blood Transfusion team.
Nurse authorising guidelines
Two sets of guidelines for the authorisation of red cells and platelets by nurse authorisers caring for adult haematology and oncology patients can be found on the North East RTC policies page.
This terminology resource file (pdf 1.41MB) explaining abbreviations and medical terminology related to blood components was compiled by the Northern Assistant Transfusion Practitioner Group in January 2011 and revised in July 2012.
Queen Elizabeth Hospital at King's Lynn is happy to share its algorithm for handling inappropriate requests for blood and the Transfusion Laboratory at Bedford Hospital has produced posters on the adverse reactions to transfusion and contingency plans for blood shortages. Please contact Jane O'Brien for copies or if you have resources you feel may be of benefit to colleagues in other hospitals.
We aim to make your local RTC site the first place you think of looking online for transfusion related information. It is divided into these five areas:
If you have material you would like published here please contact Jane O’Brien or Aman Dhesi the East of England RTC website representatives. If you have ideas about other information you would like to see on the RTC site please contact Sheena Cameron, Website Development Manager.