| 0:00:03 | look transfusion is the technology |
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| 0:00:06 | which was made possible |
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| 0:00:08 | when core long steiner discovered log |
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| 0:00:13 | and like much more than but this in |
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| 0:00:16 | most of blood transfusions discovery |
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| 0:00:18 | have been developed through war |
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| 0:00:21 | so the during the first world war |
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| 0:00:23 | the discovery of how but could be stored |
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| 0:00:26 | and transfusions later |
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| 0:00:29 | was very important in establishing |
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| 0:00:32 | the block bank industry |
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| 0:00:35 | as a result of these developments many thousands of lives |
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| 0:00:39 | have been saved when transfusions have been given in situations where the cool necessity |
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| 0:00:47 | and this technology has through |
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| 0:00:50 | we have seen the development |
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| 0:00:52 | also called global component therapy |
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| 0:00:55 | whereby one donation |
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| 0:00:58 | can how many patients in different diseases |
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| 0:01:02 | these have been huge advancements |
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| 0:01:04 | and have made possible |
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| 0:01:06 | the saving of many lives |
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| 0:01:10 | however propose a steeper bacchus and i |
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| 0:01:13 | how we pondering greatly about the current state as and the future of blood transfusion |
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| 0:01:20 | and we have noticed many methods which give us |
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| 0:01:24 | as experience transcriptionists for many years |
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| 0:01:27 | course for consider |
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| 0:01:29 | we have pondered all the way in which a transfusion |
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| 0:01:33 | in many countries in the western world has become strongly attached problematical of what i |
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| 0:01:40 | meant |
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| 0:01:41 | so that much of the activity of curves' |
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| 0:01:44 | in a large centralised not collection and processing centres |
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| 0:01:49 | and one of the connection is made with the actual clinical areas |
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| 0:01:54 | which need to utilise the but |
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| 0:01:57 | this has spent in our view |
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| 0:02:00 | to the development of a paradigm |
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| 0:02:03 | the paradigm as defined by thomas kuhn the great american philosopher of science is the |
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| 0:02:09 | way in which a certain nexus of arrangements become entrenched and viewed as common sense |
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| 0:02:16 | and whereas they are basically the reflection of the way things are c |
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| 0:02:22 | i'm not necessarily the weighting should be |
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| 0:02:25 | and this aspect we see but not transfusion becoming part of a paradigm which is |
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| 0:02:31 | based upon manufacture rather than up on madison |
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| 0:02:35 | much of this has good as the result of justifiable concerns about the safety of |
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| 0:02:42 | that primarily through the very sad events |
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| 0:02:46 | involving aids and hepatitis wireless transmission and the nineteen eighties |
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| 0:02:53 | however the pendulum has now swung to a and the result of the manufacturing paradigm |
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| 0:02:59 | has one the detachment tremendous |
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| 0:03:03 | we have therefore proposing |
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| 0:03:05 | that then you hear well think field of function of management should pose as the |
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| 0:03:12 | you paradigm for blood transfusion |
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| 0:03:15 | and that rather than focusing attention on the back and the boundary we should focus |
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| 0:03:21 | attention on the names of the patient |
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| 0:03:25 | we should specify but not components in terms of what is clinically need and not |
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| 0:03:31 | in terms of pharmaceutical principles which may or may not be relevant for the transfusion |
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| 0:03:38 | no longer |
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| 0:03:39 | in other words we want blood transfusion to start focusing again on the needs of |
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| 0:03:45 | the sick and in this way to assume it's rightful place as an essential technology |
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| 0:03:52 | and support for model madison |
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