What is the first action to take when Transfusion Related Acute Lung Injury is suspected?

When Transfusion Related Acute Lung Injury (TRALI) is suspected, the first action to take is to stop the transfusion immediately. The rationale behind this action is that TRALI is a serious and potentially life-threatening complication of blood transfusion that can result in acute respiratory distress due to the recipient's immune reaction to antibodies present in the transfused blood product. Stopping the transfusion halts further exposure to the causative agents, minimizing potential harm.

Following the cessation of the transfusion, the immediate management can then address other supportive measures, such as providing oxygen or notifying medical personnel. However, stopping the transfusion is paramount because it directly addresses the source of the acute reaction. This action prioritizes the patient's safety by preventing further complications associated with continued transfusion.