TY - JOUR
T1 - Management of Adult Jehovah's Witness Patients with Acute Bleeding
AU - Berend, Kenrick
AU - Levi, Marcel
PY - 2009
Y1 - 2009
N2 - Because of the firm refusal of transfusion of blood and blood components by Jehovah's Witnesses, the management of Jehovah's Witness patients with severe bleeding is often complicated by medical, ethical, and legal concerns. Because of a rapidly growing and worldwide membership, physicians working in hospitals should be prepared to manage these patients. Appropriate management of a Jehovah's Witness patient with severe bleeding entails understanding of the legal and ethical issues involved, and meticulous medical management, including treatment of hypovolemic shock, local hemostatic interventions, and administration of prohemostatic agents, when appropriate. In addition, high-dose recombinant erythropoietin in combination with supplemental iron may enhance the speed of hemoglobin synthesis. (C) 2009 Elsevier Inc. All rights reserved. The American Journal of Medicine (2009) 122, 1071-1076
AB - Because of the firm refusal of transfusion of blood and blood components by Jehovah's Witnesses, the management of Jehovah's Witness patients with severe bleeding is often complicated by medical, ethical, and legal concerns. Because of a rapidly growing and worldwide membership, physicians working in hospitals should be prepared to manage these patients. Appropriate management of a Jehovah's Witness patient with severe bleeding entails understanding of the legal and ethical issues involved, and meticulous medical management, including treatment of hypovolemic shock, local hemostatic interventions, and administration of prohemostatic agents, when appropriate. In addition, high-dose recombinant erythropoietin in combination with supplemental iron may enhance the speed of hemoglobin synthesis. (C) 2009 Elsevier Inc. All rights reserved. The American Journal of Medicine (2009) 122, 1071-1076
U2 - https://doi.org/10.1016/j.amjmed.2009.06.028
DO - https://doi.org/10.1016/j.amjmed.2009.06.028
M3 - Review article
C2 - 19958881
SN - 0002-9343
VL - 122
SP - 1071
EP - 1076
JO - American journal of medicine
JF - American journal of medicine
IS - 12
ER -