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One Year's Experience in a Civilian Setting

Neil Blumberg, MD; Joseph R. Bove, MD

JAMA. 1978;240(19):2057-2059.

Abstract
One year's experience (56 cases) in the use of un-cross-matched blood for emergency transfusion in a large civilian teaching hospital showed that 49 transfusions were given as un-cross-matched, group-specific (ABO and Rh) blood in emergencies. Seventy-seven percent (43) of blood requests were for patients with trauma, unexpected massive intraoperative hemorrhage, or ruptured aneurysm. The indications for emergency transfusion were questionable in ten cases. There were no adverse effects noted even though complete serologic testing had not been done. While the use of un-cross-matched blood is usually safe, the potential for serious reaction exists. Overuse should be discouraged.

(JAMA 240:2057-2059, 1978)

Author Affiliations
From the Department of Laboratory Medicine, Yale University School of Medicine, and the Blood Transfusion Service, Yale-New Haven Hospital, New Haven, Conn.

Footnotes
Reprint requests to Blood Transfusion Service, Yale-New Haven Hospital, 789 Howard Ave, New Haven, CT 06504 (Dr Bove).

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