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The Ethics of Jehovah Witness and Blood Transfusion

7981 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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Conrad Fischer specifically talked about this question.
He said we should not make assumptions from the T-shirt. maybe he just borrowed it from a friend or maybe he's joking ...etc
The only thing that we just follow is advanced directives or a legal power of attorney from a family member.
Of course remember that in children we give the blood no matter what the parents are adamant about it.
Yes the answer is A. give blood.

So should you give blood if the parents are Jehovah's Witness and say they do not want their child to get blood?
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