A 31 year old healthy woman (G2P2) is seen in the ER post motor vehicle accident. She has numerous contusions, is conscious and can move her limbs. She complains of severe abdominal pain. A FAST ultrasound illustrated a liver laceration and splenic rupture. Her BP is 74/40 and her HR is 148 bpm. She is on a face mask and is becoming increasingly delirious.
What type of blood should she be transfused immediately and why?
She required an urgent splenectomy. What immunizations are required?