Immunohematology Week 2 Overview
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Questions and Answers

Who successfully performed the first blood transfusion?

  • Albert Hustin
  • Edward E. Lindemann (correct)
  • Francis Rous
  • Lewisohn
  • The use of sodium citrate as an anticoagulant solution for transfusions was first reported in 1915.

    False (B)

    What was the primary factor driving blood preservation research during World War II?

    The increased demand for blood and plasma due to the war.

    The Rh blood group system was discovered by Karl Landsteiner, Alex Wiener, Philip Levine, and ______.

    <p>R.E. Stetson</p> Signup and view all the answers

    Match the following blood group systems with the years they were discovered:

    <p>ABO = 1900-1901 MNSs and P = 1927-1947 Rh = 1939-1940</p> Signup and view all the answers

    Which of the following was NOT a component of the US blood collection system in the 1940s?

    <p>National Blood Bank (D)</p> Signup and view all the answers

    The preservative solution ACD was introduced in 1945.

    <p>True (A)</p> Signup and view all the answers

    What was the main advantage of the plastic bag for blood collection introduced in 1949?

    <p>It enabled safe and easy preparation of multiple blood components from a single unit of whole blood.</p> Signup and view all the answers

    The maximum blood capacity of a 110-pound individual is up to ______ mL blood bag volume.

    <p>525</p> Signup and view all the answers

    Which blood bag type allows separation into red cells, platelet concentrate, cryoprecipitate, and plasma?

    <p>Quadruple Bag (C)</p> Signup and view all the answers

    Flashcards

    First Blood Transfusion

    Performed by Edward E. Lindemann in 1913 using multiple syringes.

    Sodium Citrate as Anticoagulant

    Reported by Albert Hustin in 1914 for blood transfusions.

    Lewisohn's Contribution

    Determined minimum citrate for anticoagulation; noted side effects.

    Citrate-Dextrose Solution

    Introduced in 1916 for RBC preservation by Rous and Turner.

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    First Hospital Blood Bank

    Established by Bernard Fantus in 1937 in the US.

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    Rh Blood Group Discovery

    Discovered between 1939-1940; major cause of transfusion reactions.

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    Cold Ethanol Fractionation

    Developed by Edwin Cohn in 1940 to separate plasma components.

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    Coombs Test

    Identifies incomplete antibodies; described in 1945.

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    Types of Blood Bags

    Different bags designed for specific separation of blood components.

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    Glycerol Cryoprotectant

    Introduced for freezing red blood cells by Audrey Smith in 1949-1950.

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    Study Notes

    Week 2: Introduction to Immunohematology

    • 1913: Edward Lindemann first successfully performed blood transfusions.
    • 1914: Albert Hustin introduced sodium citrate as an anticoagulant for transfusions.
    • 1915: Lewisohn determined the minimum amount of citrate for safe anticoagulation, demonstrating its nontoxicity. Massive transfusions now dependent on blood. Citrate toxicity levels decreased.
    • 1916: Development of preservative solutions to enhance red blood cell metabolism introduced for blood preservation. Francis Rous and Turner introduced citrate-dextrose solution.
    • 1927-1947: Discovery of the MNSs and P blood group systems. Improved understanding of the RBC membrane, its metabolism, and permeability.
    • 1930s: Improved understanding of RBC membrane properties, important for preventing reactions.
    • 1932: First hospital-based blood depot established in Leningrad.
    • 1937: Bernard Fantus established the first hospital blood bank in the US at Cook County Hospital. Fantus popularized the term "blood bank".
    • 1939-1945 (World War II): Increased demand for blood preservation.
    • 1939-1940: Discovery of the Rh blood group system by Landsteiner, Wiener, Levine, and Stetson.
    • 1940: Medical School process for breaking down plasma into components including albumin, gamma globulin, and fibrinogen.
    • 1941: Dr. Charles Drew appointed director of the first American Red Cross Blood Bank.
    • 1943: Loutit and Mollison formulated a blood formula. First blood container (vacuum bottle/vacutainer tube).
    • 1945: Development of the preservative acid-citrate-dextrose (ACD). Coombs, Mourant, and Race, introduced use of antihuman globulin ("Coombs Test") to identify incomplete or unknown antibodies. AABB (American Association of Blood Banks) formed to promote blood banking practices.
    • 1947: Publication of the Journal of Clinical Investigation and guideline book. Blood banks established nationwide.
    • 1949-1950: The US blood collection system includes hospital blood banks, community blood centers and the American Red Cross regional blood centers. Audrey Smith researched glycerol cryoprotectant for freezing red blood cells, and its use alongside glucose and urea to prevent water loss.
    • 1950: Carl Walter and W.P. Murphy introduced plastic bags for blood component collection from single units.
    • Blood Bag Information: Different types of blood bags (single, double, triple, quadruple) described and their use in separating whole blood components.

    Blood Bags

    • Whole blood: 450-500 mL with 63-70 mL of anticoagulant.
    • Maximum Capacity (110-pound individual): 525 mL.
    • Different Bag Types: Used for separating whole blood into various components including red blood cells, plasma, platelets, and cryoprecipitate.

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    Description

    This quiz covers key historical milestones in immunohematology from 1913 to the 1930s. Learn about advancements in blood transfusions, anticoagulants, and the establishment of blood banks that shaped modern practices. Test your knowledge on significant figures and developments in this vital medical field.

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