Blood Transfusion: To give or not to give! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 07-18-2010
Ayshee's Avatar
USMLE Forums Newbie
 
Steps History: Not yet
Posts: 9
Threads: 5
Thanked 9 Times in 5 Posts
Reputation: 19
Blood Blood Transfusion: To give or not to give!

In USMLEWorld there's a question in which a patient that needs blood transfusion and who's an adult and who's unconscious.

His wife came and begged you to not give blood transfusion because of religious beliefs.

Their correct answer is to proceed with the blood transfusion.

I disagree with that. Because what I know is that if the patient cannot speak (unconsious) then a surrogate can talk.

If the surrogate (his wife) said he does not want blood transfusion then that's it you don't give it even if it was emergency.

I know in children it would be different. They cannot refuse an emergency treatment for their children but her husband is an adult and his wishes (through his wife) has to be respected.

What do you think about this
Reply With Quote Quick reply to this message
The above post was thanked by:
Taiwan_Guy (08-22-2011)



  #2  
Old 07-18-2010
USMLE Forums Newbie
 
Steps History: Step 1 Only
Posts: 6
Threads: 2
Thanked 2 Times in 1 Post
Reputation: 12
Default Ans

ya i think the same...as per the law if the person is not in a state of taking any decision than the personnext to kin has authority to decide and if in this case if wife denies for blood transfusion ...it should be withheld...only in children if parents withhold some life or limb saving measure ...we have right to go against them and save them...
Reply With Quote Quick reply to this message
The above post was thanked by:
Ayshee (07-18-2010), Sabio (07-18-2010)
  #3  
Old 07-20-2010
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 76
Threads: 22
Thanked 34 Times in 16 Posts
Reputation: 44
Default hey

Quote:
Originally Posted by Rishi View Post
ya i think the same...as per the law if the person is not in a state of taking any decision than the personnext to kin has authority to decide and if in this case if wife denies for blood transfusion ...it should be withheld...only in children if parents withhold some life or limb saving measure ...we have right to go against them and save them...
i hav a doubt...as the patient is unconscious...doctor must do anything to save his life...wife can say what he wants...but shudnt she hav a living will or some proof of his wishes...
Reply With Quote Quick reply to this message
The above post was thanked by:
dr_lizard (09-04-2011)
 
  #4  
Old 03-04-2012
dr.dhruvdesai's Avatar
USMLE Forums Addict
 
Steps History: 1 + CK
Posts: 197
Threads: 51
Thanked 93 Times in 35 Posts
Reputation: 103
Default

Usmle world is always right !!...its like the bible folks....

but the rule says in Life threatening situations u must act in the best of patient's interest...if pt is unconscious or unemancipated.

though relatives can convey their wishes but only if legally given the power of attorney.
Reply With Quote Quick reply to this message
  #5  
Old 03-04-2012
dr.dhruvdesai's Avatar
USMLE Forums Addict
 
Steps History: 1 + CK
Posts: 197
Threads: 51
Thanked 93 Times in 35 Posts
Reputation: 103
Cool

also in this particular cae of jerovah's witnesses...

the UW described vignette is CLASSIC...

so even if u disagree....folks...atleast if such question comes...u must ans wat UW says
Reply With Quote Quick reply to this message
  #6  
Old 03-05-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 591 Times in 355 Posts
Reputation: 601
Default

does that question mentions wife is surrogate?
Reply With Quote Quick reply to this message
  #7  
Old 03-30-2012
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 12
Threads: 1
Thanked 6 Times in 5 Posts
Reputation: 16
Correct Answer

No one knows whether the wife is telling the truth or not. So, there is a new protocol in US. If u were doing old u world, there is a question about withholding the blood transfusion in adults according to the spouse's words.

But in current U world, in the explanation, the new Act is ordered and we have to give blood to unconscious adults unless they have a card stating about refusing the blood transfusion in emergency situation.
So, in updated protocol,
Children>> Give the blood if required no matter what their parents say.
Adults>> Search first about the proof stating to refuse bld transfusion in any situation for religious beliefs. If it is not available in the Emergency situation, Transfuse the Blood. Don't need to wait for an agreement from the Spouse or Next of Kin.
Reply With Quote Quick reply to this message
The above post was thanked by:
um aala (03-30-2012)
  #8  
Old 03-30-2012
USMLE Forums Addict
 
Steps History: Not yet
Posts: 137
Threads: 2
Thanked 65 Times in 40 Posts
Reputation: 75
Thumbs Up

Quote:
Originally Posted by tdoubleun View Post
No one knows whether the wife is telling the truth or not. So, there is a new protocol in US. If u were doing old u world, there is a question about withholding the blood transfusion in adults according to the spouse's words.

But in current U world, in the explanation, the new Act is ordered and we have to give blood to unconscious adults unless they have a card stating about refusing the blood transfusion in emergency situation.
So, in updated protocol,
Children>> Give the blood if required no matter what their parents say.
Adults>> Search first about the proof stating to refuse bld transfusion in any situation for religious beliefs. If it is not available in the Emergency situation, Transfuse the Blood. Don't need to wait for an agreement from the Spouse or Next of Kin.
manythanks ,if the ans isn't like what u say ,i would be disapointed actualy
Reply With Quote Quick reply to this message



Reply

Tags
MedicoLegal-Ethics

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Why should we give thiamine before glucose? Samarah USMLE Step 1 Forum 6 11-28-2016 01:28 PM
When to give IV fluids and when to give blood for a bleeding pregnant patient Katharina USMLE Step 2 CK Forum 3 06-11-2010 04:35 AM
when to give exam monika USMLE Step 1 Forum 1 01-01-2010 02:06 PM
Lousy CV - should I give up my dream of being an American MD? slampale IMG/FMG Forum 5 12-16-2009 09:42 AM
Blood Brain Blood CSF Barriers Difference Sabio USMLE Step 1 Bits & Pieces 0 09-25-2009 08:23 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)