The demise of bloodletting

Bloodletting was a practice favoured by doctors and barber-surgeons
for many centuries, and is now, perhaps surprisingly, still employed for a few
specific indications. The effectiveness of bloodletting for treating diseases such as pneumonia was convincingly challenged in the mid-nineteenth century, but medical conservatism ensured the practice continued well into the twentieth century. As late as 1942, a famous medical textbook considered bloodletting appropriate treatment for pneumonia.

KEYWORDS Bloodletting, lancets, pneumonia, leeches, transfusion

Inappropriateness of fresh frozen plasma for abnormal coagulation tests

Background: There is increasing evidence to suggest that the use of fresh frozen plasma (FFP) as a prophylaxis to bleeding is ineffective. However, a high proportion of FFP transfusions still occur in non-bleeding patients despite the high risk of adverse events. The aim of the study was to assess compliance with current prophylactic FFP guidelines at a large tertiary centre.