Question

A 28-year-old Jehovah’s Witness is brought to the emergency department after a road traffic collision. He is alert and oriented, and repeatedly refuses blood transfusion on religious grounds, demonstrating clear understanding of the risks of refusing treatment. Massive haemorrhage is anticipated. What is the most appropriate course of action?

Accepted Answer

Respect his refusal of blood products and provide all other appropriate supportive treatment.

Answer

Proceed with transfusion because the situation is life-threatening.

Answer

Seek a court order to authorise transfusion against his wishes.

Answer

Ask his family to provide consent for transfusion on his behalf.

Answer

Treat him with intravenous fluids and give transfusion covertly if he deteriorates further.

Practice question