New jehovah witness religion8/11/2023 ![]() ![]() In this particular study, when compared with demographic and injury variables JW were likely to die than non-JW after major trauma. Similar to the work of Ott and Cooley, a retrospective review of the risk of death for JW after major trauma concluded that after controlling for age, race, systolic blood pressure, Glasgow Coma scale score, and the type of trauma, JW patients have no significant risk of death after major trauma compared with other religious groups. ![]() Successful management of young JW with massive traumatic blood loss has been reported. This study included younger patients and can not be applied in general. ![]() Finfer et al Fir et al., and Rupp et al., described JW patients with lower hemoglobin levels and compared the injury severity of patients who survived without blood transfusion after trauma. Therefore, the resuscitation begins at the scene and emergency department and the delay in treatment should be reduced. ![]() The first priority is rapid hemostasis stabilization. There is no literature suggesting the role of gender in the outcome of these groups of patients. Mechanism and type of injury, severity of injury and age of the patient are important predictors in the outcome. Familiarity of such situation may differ from different trauma centers and needs experience in treatment planning. Trauma surgeons are faced with a unique and most challenging clinical scenario in preparing the management of such scenario. The government of India needs to be informed about their and personal needs and better communication between the health care authorities and patient.ĬHALLENGES FACED IN TRAUMA SURGERY FOR JEHOVAH'S WITNESSES All these products are available at limited centers in India and may not be accessible to every JW. However, large volumes of hetastarch may have adverse effect on coagulation. Use of hetastarch, large dose intravenous iron dextran injections, Fluosol DA and the sonic scalpel are promising and are not against religious beliefs of JW. There is interpatient variability regarding the viewpoints on these products and procedures. This may represent the patient's personal choice and is not a reflection of any standard policy of JW or WTS. Transfusion rate for injured has been reported in literature, between 5% and 7%, and major changes in therapeutic planning were also performed in 13% of JW cases. They also concluded the routine use of H-2 blockers therapy as reasonable protocol in all seriously injured JW regardless of the initial hemoglobin. A 16-year experience of treatment and transfusion dilemmas at level I trauma center reported by Nelson et al., recommended the standard use of Advanced Trauma and Life Support history be augmented to include patient's beliefs. Clinical accounts of the same substitutes have also been published. Preapproval of use of hemoglobin-based substitutes in JW patients has already been published in newspaper accounts (Sacramento Bee, August 24, 2000, CA, USA). Shanders has taken position to remain silent on religious issues and focusing purely on clinical concerns because this may be an attempt to religious conversion. This depends on individual perception and personal wishes. The current policy of Watch Tower Society (WTS) does not prohibit the use of albumin, immuno globulins, and hemophilic preparation in many cases. The United Nations convention on the Rights of the Child released in November 1989, implemented in 1990 has clearly emphasized the fact that children need special care, assistance, and protection because of their vulnerability.ĬURRENT POLICY AND PRACTICE OF WATCHTOWER AND BIBLE TRACT SOCIETY ON PROHIBITED AND ACCEPTABLE TREATMENT The blood transfusion among JW against their wishes even as a life-saving procedure has caused postoperative psychosocial outcomes like depression, guilt, and this may persist for many years. A standard practice for treating such patients has been developed that suffices in treating the “whole person.” Majority of legal battles have reinforced the patient rights of individual autonomy for accepting their treatment, even when the decision may not be medically acceptable. Many of the followers do allow use of (nonblood prime) heart-lung dialysis, or similar equipment if extracorporeal circulation is uninterrupted. The verses of Bible though not mentioned in medical terms, JW perceive them as ruling out transfusion of whole blood, packed red blood cells, plasma, white blood cells, and platelets administration. Recent literature suggests that a change in the perception to treatment of JW is changing due to advancements in technology and awareness of legal principle of informed consent. ![]()
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