Final answer:
In an emergency with severe bleeding and no time to determine blood type, O negative blood is transfused as it is the universal donor type. Blood that agglutinates with both anti-A and anti-B antibodies indicates AB positive blood type. Significant blood loss requires immediate vascular access and fluid replacement.
Step-by-step explanation:
In the case of a motor vehicle accident where the patient presents with multiple traumatic injuries and severe bleeding, a critical condition that necessitates immediate action, the transfused blood type is typically O negative. This is because O negative blood is considered the universal donor type and can be received by individuals of any blood group without the risk of an adverse reaction due to incompatibility. In an emergency where there is no time to determine a patient's blood type, O negative blood is the safest option to ensure that the patient receives lifesaving treatment without delay.
For the second part of the question, if a patient's blood samples agglutinate when mixed with both anti-A and anti-B antibodies, this suggests the patient has AB positive blood. This is a normal response for individuals with AB positive blood type, as their blood contains both A and B antigens which will react with their respective antibodies, resulting in visible agglutination. There is no error in the test in this scenario; it is an expected outcome for AB positive individuals.
Regarding the concept of significant blood loss, if there is a risk of a patient losing at least 500 ml of blood (or 7 ml/kg of body weight, in children), it is critical that appropriate vascular access and fluids are readily available to manage the situation and prevent further complications.