Severe anemia in the Jehovah's Witness: case report and discussion.
Major blood loss following trauma is common, but severe anemia is generally not life-threatening when managed with the administration of blood and blood products. Severe anemia becomes particularly challenging and potentially lethal when the patient is a Jehovah's Witness, for whom receiving a transfusion is contrary to religious principles. This case report describes the management and hospital course of a Jehovah's Witness who was seriously injured in an airplane crash.
Collins
S L
SL
Department of Surgery, West Virginia University, Morgantown.
Timberlake
G A
GA
D000740:Anemia / Q000097:blood / Q000209:etiology / Q000628:therapy*; D001803:Blood Transfusion; D002835:Christianity; D002985:Clinical Protocols; D003422:Critical Care; D003692:Delayed-Action Preparations / Q000627:therapeutic use*; D004750:Enteral Nutrition; D004921:Erythropoietin / Q000627:therapeutic use*; D005296:Ferrous Compounds / Q000627:therapeutic use*; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications*; D010101:Oxygen Consumption; D016312:Treatment Refusal; D014805:Vitamin B 12 / Q000627:therapeutic use*
D003692:Delayed-Action Preparations; D005296:Ferrous Compounds; D006454:Hemoglobins; D004921:Erythropoietin; C020748:ferrous sulfate; D014805:Vitamin B 12