Transfusing a card-bearing Jehovah's Witness

[Guest Turquoise678]

Here's the situation: a patient arrives in the ER, unconscious. She's bleeding a lot and you decide to give her a blood transfusion. The nurse then hands you a card found in the patient's purse, that says that due to her religious convictions, she does not accept blood transfusions. She says on the card that she understands the implications of her decision.

 

The card is signed, but it is not dated or witnessed. As a physician, do you give her the transfusion?

 

Here are two takes on the scenario:

 

#1) she is alone and there's no time to wait for family to arrive; she needs blood now or she'll go into shock

 

OR

 

#2) Her daughter is there. She validates what is said on the card and signs a form prohibiting blood transfusions.

 

Thanks!

 

 

 

 

Edited the Subject line to get rid of the all-capital letters. -Ian

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