Assignment Task
Case scenario
Annabel is a 16 and half yr old student who was involved in a MVA which has left her with a fractured left femur, unstable pelvic fracture and left sided thoracic trauma. She is —haemodynamically unstable and is currently being assessed at a Metropolitan Trauma o centre. She has moderate anaemia (Hb 85) at present and continues to show signs of active „– ongoing bleeding. The ED Consultant is planning to transfuse her urgently with four units of group specific blood and two units of FFP whilst waiting for definitive operative interventions. Annabel is drowsy, however, seems to be orientated in time, person and place and makes it known clearly to the ED Consultant attending her that she refuses any bloocIpLachicsa_Annabel’s parents are both in attendance and the ED Consultant discusses the current situation and they are dismayed at Annabel’s refusal of blood products. They explain to the ED Consultant that 12 months ago she became an active member of the local Jehovah Witness Church community and 6 months ago she signed a document stating her desire of not receiving a blood transfusions. The ED Consultant has made it clear to patient and parents that without a blood transfusion the likelihood of survival is < 10>
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