Shiny K. Kajal/LinkedIn
Feb 12, 2026, 15:29
Shiny K. Kajal: The Most Ignored Skill in Clinical Practice
Shiny K. Kajal, Senior Resident at Adesh University, shared a post on LinkedIn:
”Restraint is not an under-treatment but a pillar of evidence based, patient-centred modern medicine!
When Not to Transfuse: The Most Ignored Skill in Clinical Practice
Transfusion is a therapy, not a reflex. Knowing when not to transfuse is just as important as knowing when to.
Key Takeaways:
- Unnecessary transfusion is not harmless — it increases morbidity, mortality, and complications.
- Red cells, platelets, and plasma should be given based on evidence-based thresholds, not just numbers.
- Patient Blood Management (PBM) is the cornerstone of modern transfusion practice: optimize hemoglobin, minimize iatrogenic loss, and follow a single-unit strategy.
So, the safest transfusion is the one you didn’t give after patient-centred analysis.”

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Apr 3, 2026, 17:46Michelle Leona Cecil: A Call to Protect Patient Care and The Nation’s Blood Supply for Blood Disorders Community
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Apr 3, 2026, 17:38Shahab Sheikhalishahi: A Rare Case of Portal Vein Thrombosis After Echis Carinatus Envenomation
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Apr 3, 2026, 17:33Kimberly Ha: Epia Neuro Aims to Restore Movement in Stroke Survivors
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Apr 3, 2026, 17:28Ryan Perry: Heart and Stroke Announces 2026 Grants-in-Aid Indigenous Research Stream Funding Opportunity
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Apr 3, 2026, 17:21Maxime Dely: A Meaningful Journey of 14 years in Blood Transfusion
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Apr 3, 2026, 17:19Arun V J: Don’t Miss TRANSCON 2026 – A Direct Pathway Into India’s Clinical and Institutional Network
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Apr 3, 2026, 17:17Louise St. Germain Bannon: Preparating for ISTH 2026 and Highlighting Best Aspects of Congress