Blood Bank Guy Essentials Podcast

55:49

086CE: Scary Stories from the Transfusion Service...

Blood Bank Guy Essentials Podcast ·

2020/10/30

Every now and then, the routine practice of Blood Banking/Transfusion Medicine gets intimidating. A difficult patient situation arises here, an impossible choice looms there. What do you do when there are no easy answers? Drs Mark Fung and Jay Hudgins are expert Transfusion Medicine practitioners who have years of experience dealing with these “scary” situations! In this special Halloween 2020 episode, they are here to help learners with ideas on how to approach some seemingly impossible situations

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54:38

085CE: What to do When Everything is Incompatible...

Blood Bank Guy Essentials Podcast ·

2020/06/17

Every now and then, when a transfusion service does a pretransfusion workup, they find that the patient's plasma is incompatible with EVERY other red cell! In other words, NOTHING is compatible! These situations are intimidating, and can lead to delays in transfusion. Dr. Jill Storry is an international immunohematology expert, and she shares practical tips for what to do and how to recognize the three main patterns of panagglutinins. NOTE: CE credit has expired for this episode.

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57:44

084: COVID-19 Convalescent Plasma with Pampee Young...

Blood Bank Guy Essentials Podcast ·

2020/05/04

Special episode! In the midst of the COVID-19 pandemic, does convalescent plasma from recovered patients offer fresh hope for those who are critically ill? The medical leaders of the two largest blood collectors in the US are here to help us work through the challenges and triumphs for COVID-19 convalescent plasma.

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54:50

083CE: Building the Perfect Transfusion Committee...

Blood Bank Guy Essentials Podcast ·

2020/04/27

Let’s be honest: Some hospital transfusion committee meetings feel like a waste of time! However, Dr. Carolyn Burns thinks transfusion committees are not hopeless! In this interview, she outlines her practical steps for building the perfect transfusion committee. She discusses how to recruit members, how to find “champions,” what to discuss and analyze, and shares what she has observed in the most effective transfusion committees. Whether your facility is doing a great job already or you are reading

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29:21

082: COVID-19 and the Blood Supply with Louis Katz

Blood Bank Guy Essentials Podcast ·

2020/03/17

In this emergency episode, recorded on March 16, 2020, I discuss actions blood collectors and hospitals should be thinking of now to preserve the US blood supply, as well as a look at the global COVID-19 pandemic. We also briefly discuss convalescent plasma and its potential role.

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45:04

081CE: Top Ten Changes in the NEW AABB Standards with...

Blood Bank Guy Essentials Podcast ·

2020/03/11

The 32nd edition of AABB Standards became effective in April 2020. Rich Gammon, Chair of the BBTS Standards Committee, is here with the Top 10 changes you need to know! From blood donors to recipients, these changes will keep you in touch with best practices in Transfusion Medicine, even if your facility is not AABB-accredited. NOTE: CE credit has expired for this episode.

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53:13

080CE: Is This Donor "Safe?" with Mindy Goldman

Blood Bank Guy Essentials Podcast ·

2020/02/27

Those who oversee blood collection organizations wrestle constantly with two questions: “How can I keep my blood donors safe?” and “How can I keep the recipients of the blood we are collecting safe?” These twin responsibilities shape decisions and policies in blood donor centers worldwide. Dr. Mindy Goldman, Medical Director at Canadian Blood Services (CBS), is deeply involved in the evaluation of those core questions. As a result, I wanted her to describe Canada’s decisions on two big issues:

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54:38

079: Pioneering Pathogen Reduction with Ray Goodrich

Blood Bank Guy Essentials Podcast ·

2020/01/30

With the FDA's 2019 publication of their Final Guidance on how to prevent patients from receiving platelet products contaminated with bacteria, it finally feels like pathogen reduction technology is about to "get real" in the United States! There was a time, though, that modern versions of pathogen reduction existed only in the minds of some really, really smart people. One of those brilliant minds is my guest, and his name is Dr. Ray Goodrich. Ray shares the backstory of how modern pathogen

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55:46

078CE: Does That Patient REALLY Need Platelets? with...

Blood Bank Guy Essentials Podcast ·

2019/11/20

Far too many platelet transfusion decisions are made by evaluating a single laboratory value (the platelet count). Dr. Joe Sweeney believes we need more information to make better choices. Platelet transfusion decisions can be complex, and there is wide practice variability both within institutions and among different subspecialty services. In this interview, Dr. Sweeney describes current platelet transfusion guidelines and a more thorough approach to caring for thrombocytopenic patients. NOTE: CE

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52:58

077CE: Implementing Pathogen-reduced Platelets with...

Blood Bank Guy Essentials Podcast ·

2019/10/17

On September 30, 2019, the United States Food and Drug Administration released the long awaited final guidance on bacterial risk control in platelets (see episode 076 for more details). One way that transfusion services can fulfill the recommendations in the guidance is to implement pathogen reduction technology. Dr. Pat Kopko and her team at the University of California-San Diego are well ahead of the curve, as they implemented PR-platelets in their hospital WAY back in 2017! Along the way, UCSD

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42:37

076: FDA Platelet Bacteria Guidance with Pat Kopko

Blood Bank Guy Essentials Podcast ·

2019/10/11

Over the past several years, the United States Food and Drug Administration has considered many proposals for how to decrease the risk that a vulnerable patient would receive a platelet transfusion containing bacteria. On September 30, 2019, FDA released their "Final Guidance" with multiple recommendations that can appear confusing at first glance. This interview with Dr. Pat Kopko from UC-San Diego is designed to be a "first impression" tour through the options in the guidance. NOTE: Every facility

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57:15

075CE: What About Fibrinogen? with Melissa Cushing

Blood Bank Guy Essentials Podcast ·

2019/08/14

Are we ignoring the most important coagulation factor when transfusing bleeding patients? Melissa Cushing thinks fibrinogen's contribution to survival of bleeding patients may be under-recognized. She describes the current evidence for early fibrinogen replacement in the bleeding patient, logistical challenges transfusion services face, studies providing insights to desired fibrinogen target levels, and future options to provide early fibrinogen replacement with increased efficiency and safety

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58:02

074CE: Radioactive! with Chris Tormey

Blood Bank Guy Essentials Podcast ·

2019/07/31

Transfusion-associated Graft-versus-Host Disease (TA-GVHD) is a notoriously deadly but thankfully rare transfusion complication. Blood banks have used irradiation of cellular blood products for decades to prevent TA-GVHD, but clinicians and laboratorians still sometimes misunderstand what irradiation does and does not do. Dr. Chris Tormey from Yale details the past, present, and future of blood product irradiation in this practical and timely interview. NOTE: CE credit has expired for this

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57:00

073: Implementing Trauma Whole Blood with David Oh...

Blood Bank Guy Essentials Podcast ·

2019/07/10

More and more trauma surgeons are asking their hospitals when they can get low-titer, cold-stored, group O whole blood ("trauma whole blood"). This product, discussed in depth in episode 040CE, is one that comes with lots of choices, and Drs. David Oh and Mike Goodman from Hoxworth Blood Center and the University of Cincinnati led their hospital through those decisions. They join me to share their insights, lessons learned, and practical tips. Please note: This is not intended to be a recipe! Every

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53:42

072CE: Neonatal Platelet Transfusion with Martha...

Blood Bank Guy Essentials Podcast ·

2019/06/26

For decades, neonates (especially in the United States) have been given platelet transfusions at considerably higher platelet counts than thresholds used in adults. New data suggests, however, that "less may be more" when it comes to transfusing platelets to these tiny and vulnerable patients! Dr. Martha Sola-Visner, a neonatologist from Boston, joins me to discuss the results of a recent large study that challenges our assumptions about neonatal platelet transfusion. NOTE: CE credit has expired for

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43:03

071: NEW Therapeutic Apheresis Guidelines with Nancy...

Blood Bank Guy Essentials Podcast ·

2019/06/19

This month, the American Society for Apheresis (ASFA) released a new version of their epic document called “Guidelines on the Use of Therapeutic Apheresis in Clinical Practice” in the Journal of Clinical Apheresis. It is, in many ways, the standard document that professionals in this field refer to when faced with a patient who may need treatment. One of the co-editors of the “Special Issue” (as it is also called), Dr. Nancy Dunbar, joins me to explain why you need to get your hands on the new

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56:17

070CE: Preventing Alloantibodies in Sickle Cell...

Blood Bank Guy Essentials Podcast ·

2019/06/05

Alloimmunization after red blood cell (RBC) transfusion is a huge challenge in the treatment of sickle cell disease (SCD). Even when donors and patients are "matched," anti-Rh antibodies in patients with sickle cell disease are formed way often than we would like or expect. Further, Dr. Stella Chou has shown that nearly a third of patients with those new antibodies actually have hemolytic transfusion reactions! It's a huge problem. In this interview, Dr. Chou, a pediatric hematologist from

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43:54

069CE: Preventing TRALI with Beth Shaz

Blood Bank Guy Essentials Podcast ·

2019/05/22

Over the past 15 years, Transfusion-related Acute Lung Injury (TRALI) has caused in more deaths than any other complication. Since many cases are caused by antibodies in blood donors, blood collection establishments around the world have taken numerous steps in an effort to prevent TRALI (also known as TRALI "mitigation"). Dr. Beth Shaz and a group of distinguished researchers decided to investigate and see if they could quantify the impact of the interventions. They looked at over 10 million

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58:26

068: Transfusion in Cardiac Surgery with Pierre Tibi

Blood Bank Guy Essentials Podcast ·

2019/05/13

Most blood bankers will tell you that cardiac surgery can lead to some of the most intense interactions between a transfusion service and an operating room. Over the decades, we have seen wide variations in how much blood surgeons transfuse, even among those practicing in the same hospital! Those times are changing, however. Dr. Pierre Tibi is a busy cardiac surgeon in Arizona who also happens to be a Patient Blood Management champion! Pierre joins me to pull back the curtain on what is really

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52:00

067CE: Wiser Blood Management Choices with Carolyn Burns

Blood Bank Guy Essentials Podcast ·

2019/04/24

It feels like everyone is talking about patient blood management. That's a GOOD thing, but does it really mean what they think it means? Dr. Carolyn Burns joins me to discuss "Five Things Patients and Physicians Should Question" regarding blood management, and what she has to say may show you that you are NOT doing everything you can or should with PBM in your facility. NOTE: CE credit has expired for this episode.

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