You are an interventional radiology trainee (ST5) and are running a procedure list tomorrow morning, with support from a consultant. You look through the cases and one of the request forms states:
‘New AML. For CPX. Requires Hickman line for chemo etc.’
You review this 68 year old, female patient’s recent bloods:
Hb 80, WCC 2.1, Plt 23
PT 13, APTT 30, Fib 4.5
Does the patient require any blood product support pre-procedure?
Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to evolve over the coming week so keep checking #TeamHaem on Twitter for more information.
Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.
TeamHaem are not a position of authority. It is an educational platform to allow discussion and learning.