Revised Medical Care Guidelines of Jichi Medical University Hospital for Jehovah's Witness Patients Who Refuse Primary Blood Components: Lifesaving Blood Transfusions Surpass Religious Convictions

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  • SEO Norimasa
    Department of Anesthesiology and Critical Care Medicine, Jichi Medical University

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  • 「絶対的無輸血」　から　「相対的無輸血」　へ

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  In medical care for the Jehovah's Witness patients (JWs) who refuse primary blood component, informed consent is very important. Jichi Medical University Hospital has recently revised the medical care guidelines for JWs who refuse primary blood components. In these guidelines, JWs' religious conviction underlying blood refusal should be respected as far as no life-threatening condition exists. But once life-threatening exsanguinations occur, lifesaving blood transfusions should be given until the patient is relieved from the imminent danger of death. JWs should be informed fairly about these guidelines before receiving medical care, and a private and confidential meeting with treating physicians should be arranged so they have an opportunity to speak for themselves and decide by themselves, free from religious pressure and in the absence of family members who are also JWs.

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