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 2, 2026, 18:16Saravanan Subramaniam: How Extracellular Histones Act as Key Drivers of Thromboinflammation
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Apr 2, 2026, 18:06Rob Molhoek Brings Invaluable Insights on Stroke Awareness and Care Improvements – Stroke Foundation
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Apr 2, 2026, 17:21Paul Bolaji: Phase 2 of the Nigeria National Stroke Registry Is Now Live
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Apr 2, 2026, 17:13Catherine Jennings: Marking Today as an Important Step Forward for Patients With PE
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Apr 2, 2026, 17:11Arun V. J: Our Clinical Audit on Transfusion Safety Selected for Presentation at CAHOCON 2026