Management of a multiply injured Jehovah's Witness with severe acute anemia.
The refusal of blood products by Jehovah's Witnesses creates ethical and medicolegal dilemmas for the treating physician. Appropriate management involves some understanding of the beliefs of the Jehovah's Witnesses and knowledge of a variety of techniques to minimize blood loss. This case report describes the treatment of a Jehovah's Witness with severe anemia and multiple skeletal injuries. The need to keep blood loss to a minimum influenced the management of this patient.
Rupp
R E
RE
Department of Orthopaedic Surgery, Medical College of Ohio, Toledo.
Ebraheim
N A
NA
Saddemi
S R
SR
Wido
T
T
D000007:Abdominal Injuries / Q000601:surgery; D000208:Acute Disease; D000293:Adolescent; D000753:Anemia, Refractory / Q000209:etiology / Q000517:prevention & control*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D002835:Christianity; D005264:Femoral Fractures / Q000601:surgery; D005360:Fibula / Q000293:injuries; D005596:Fractures, Closed / Q000601:surgery*; D006801:Humans; D055370:Lung Injury; D008297:Male; D009104:Multiple Trauma / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D013978:Tibial Fractures / Q000601:surgery; D016312:Treatment Refusal