Transfusion medicine
Encyclopedia
Transfusion medicine is the branch of medicine that is concerned with the transfusion
Blood transfusion
Blood transfusion is the process of receiving blood products into one's circulation intravenously. Transfusions are used in a variety of medical conditions to replace lost components of the blood...

 of blood and blood components. The blood bank
Blood bank
A blood bank is a cache or bank of blood or blood components, gathered as a result of blood donation, stored and preserved for later use in blood transfusion. The term "blood bank" typically refers to a division of a hospital laboratory where the storage of blood product occurs and where proper...

 is the section of the clinical laboratory where medical technologist
Medical technologist
A Medical Laboratory Scientist is a healthcare professional who performs chemical, hematological, immunologic, microscopic, and bacteriological diagnostic analyses on body fluids such as blood, urine, sputum, stool, cerebrospinal fluid , peritoneal fluid, pericardial fluid, and synovial...

s process and distribute blood product
Blood product
A blood product is any component of the blood which is collected from a donor for use in a blood transfusion. Whole blood is uncommonly used in transfusion medicine at present; most blood products consist of specific processed components such as red blood cells, blood plasma, or platelets.-Relation...

s under the supervision of a medical director, often certified in Pathology
Pathology
Pathology is the precise study and diagnosis of disease. The word pathology is from Ancient Greek , pathos, "feeling, suffering"; and , -logia, "the study of". Pathologization, to pathologize, refers to the process of defining a condition or behavior as pathological, e.g. pathological gambling....

 or Transfusion Medicine. The blood donor center, also under the supervision of a physician who may be a Transfusion Medicine specialist, is the facility that collects and processes blood products. Transfusion medicine is a board-certified specialty recognized by the American Board of Pathology. Physicians from a wide range of backgrounds, including pathology
Pathology
Pathology is the precise study and diagnosis of disease. The word pathology is from Ancient Greek , pathos, "feeling, suffering"; and , -logia, "the study of". Pathologization, to pathologize, refers to the process of defining a condition or behavior as pathological, e.g. pathological gambling....

, hematology
Hematology
Hematology, also spelled haematology , is the branch of biology physiology, internal medicine, pathology, clinical laboratory work, and pediatrics that is concerned with the study of blood, the blood-forming organs, and blood diseases...

, anesthesiology and pediatrics
Pediatrics
Pediatrics or paediatrics is the branch of medicine that deals with the medical care of infants, children, and adolescents. A medical practitioner who specializes in this area is known as a pediatrician or paediatrician...

, are eligible for board certification in Transfusion Medicine following a 1-2 year fellowship.

Physicians certified in Transfusion Medicine are trained in blood product selection and management, immunohematology, apheresis
Apheresis
Apheresis is a medical technology in which the blood of a donor or patient is passed through an apparatus that separates out one particular constituent and returns the remainder to the circulation...

, stem cell collection, cellular therapy, and coagulation. They are often considered a consultant for physicians who require expertise advice on the subjects listed above.

History

William Harvey
William Harvey
William Harvey was an English physician who was the first person to describe completely and in detail the systemic circulation and properties of blood being pumped to the body by the heart...

 in 1628 discovered that blood circulates around the body. He was an English
England
England is a country that is part of the United Kingdom. It shares land borders with Scotland to the north and Wales to the west; the Irish Sea is to the north west, the Celtic Sea to the south west, with the North Sea to the east and the English Channel to the south separating it from continental...

 physician soon after this the first blood transfusion is attempted. In 1665 another English doctor Richard Lower successfully used blood transfusion between dogs to keep them alive.

Denmark

In Denmark the subject is covered by the speciality "Clinical Immunology". Transfusiology is not a recognized term in the US.

UK

In the UK, transfusion medicine is a sub-speciality of haematology.

Serious Hazards of Transfusion (SHOT) undertakes research into the effects of transfusion errors and aims to improve patient safety. Its reports have led to wider training for medical staff in the UK and a central reporting scheme to allow errors to be reported.

There is the Better Blood Continuing Education Programme, which is organised by the EUB which is part of the SNBTS
Scottish National Blood Transfusion Service
The Scottish National Blood Transfusion Service is the national blood, blood product and tissue provider of Scotland. It is a special health board of the Scottish National Health Service.-History:...

. The EUB consists of many specialist healthcare professionals. The programme's aim is to improve transfusion medicine practise. The programme is reviewed each annually in January.

In the UK there is a constant worry that a blood transfusion can lead to the transmission of Creutzfeldt-Jakob disease
Creutzfeldt-Jakob disease
Creutzfeldt–Jakob disease or CJD is a degenerative neurological disorder that is incurable and invariably fatal. CJD is at times called a human form of mad cow disease, given that bovine spongiform encephalopathy is believed to be the cause of variant Creutzfeldt–Jakob disease in humans.CJD...

.
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