Packed red blood cells red cells with both are called AB. Except in unusual cases like infants or seriously immunocompromised individuals, all people will have antibodies to any ABO blood type that isn't present on their own red blood cells, and will have an immediate hemolytic reaction to a unit that is not compatible with their ABO type. In addition to the A and B antigens, there are rare variations which can further complicate transfusions, such as the Bombay phenotype. The Rh blood group system consists of nearly around 50 different antigens, but the one of the greatest clinical interest is the "D" antigen,
Jehovah's Witnesses and blood transfusions who are Jehovah's Witness would not administer blood transfusions to fellow dedicated members. As to administering transfusions to non-members, "The Watchtower" stated that such a decision is "left to the Christian doctor's own conscience." In 1982, a "Watchtower" article declared that it would be wrong for a Witness to allow a leech to feed on his/her blood as part of a medical procedure, due to the sacredness of blood. In 1989 "The Watchtower" stated, "Each individual must decide" whether to accept hemodilution and autologous blood salvage (cell saver) procedures. In 1990, a brochure entitled "How Can Blood Save Your Life?"