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The Ethics of Jehovah Witness and Blood Transfusion

7982 Views 18 Replies 14 Participants Last post by  aknz
It seems that the Ethics questions can be a bit tricky on the NBME, so i thought I'd post a couple from a Kaplan book I have.

An unconscious man is brought to the ED for a MVA hemorrhaging profusely, hypotensive and stuporous. You have never met him and no one at your institution knows him. He is wearing a t-shirt that says, "Kiss me, I'm a Jehovah's Witness".
What should you do about the blood transfusion?
a) Give the blood
b) Wait for him to awaken enough to sign consent
c) Wait for the family
d) Seek a court order
e) Give IV fluids alone

Explain your reasoning if you'd like!
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hear hear. Give the blood, that is my opinion in this situation. You cannot be sure this patients opinion when patient is unconscious.
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