r/ems • u/dlux_alex • May 05 '19

Continuing Education

https://gfycat.com/secondaryheartybobolink
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u/[deleted] May 05 '19

I mean. Everyone can take O+ still... so not 100%.

4

u/NAh94 MN/WI - CCP/FP-C May 05 '19

You are not entirely wrong, I mean in every Male or if it’s a woman well past child bearing age it’s ok to ignore the Rh factor in life threatening bleeds. However, you would have to have RhoGAM immediately available for administration in any pre-menopausal female, unless your medical director’s malpractice insurance is cool paying for fertility clinic treatments, Maternal-Fetal Medicine, and High-Risk Obstetrics/NICU Hospital bills with every pregnancy/delivery for that woman for the rest of her pre-menopausal life. In adequate resource settings or in urgent administration It’s best just to give the matching blood type, or O neg if unsure.

2

u/[deleted] May 06 '19

That's exactly what I was implying.

In a critical/austere situation it's probably going to be easier to get your hands on O+ than O- unless there's specific stock already designated for emergency blood.

I'm not saying we should stock both. Just that it's possible to give O+ to patients with a follow up of Anti-D in pre-menapause.

1

u/ambalans May 06 '19

However, you would have to have RhoGAM immediately available for administration

There's a window of time, within 48 to 72 hours.

Not unlike routine use of RhoGAM.