Donor (and recipient) counselling within the Transfusion Service in the UK has grown in volume and complexity over the last 10 years. The addition of new tests for donated blood and the growth of bone marrow transplantation have increased the demands on counselling staff. New initiatives, such as the HCV look-back programme, have required an extension of the skills and knowledge of staff involved in counselling.
fusion, since the operation was placed on a practical basis by the work of Crile1 and Carrel, shows that this procedure has not developed a wide use in medicine and surgery. While recent clinical experience confirms the great value of transfusion in some conditions, it has also emphasized the limitations of the operation. It is not my intention to discuss the whole subject at this time but I wish to consider a few practical points in regard to the use of transfusion and the best methods of operation.
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