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R v Blaue (1975) 61 Cr App R 271 is an English criminal law appeal in which the Court of Appeal decided, being a court of binding precedent thus established, that the refusal of a Jehovah's Witness to accept a blood transfusion after being stabbed did not constitute an intervening act for the purposes of legal causation.
Informed refusal is where a person has refused a recommended medical treatment based upon an understanding of the facts and implications of not following the treatment. [ 1 ] [ 2 ] Informed refusal is linked to the informed consent process, as a patient has a right to consent, but also may choose to refuse.
The faith of Jehovah's Witnesses forbids blood transfusion. Courts in the United States have consistently upheld the right of competent adults to decline blood transfusion even when it would be life-saving, though there have been exceptions where the death of a patient could leave a child orphaned.
Banked blood during the blood transfusion process As the person receives their blood transfusion, the bag slowly empties, leaving behind blood that has clotted before it could be administered. Historically, red blood cell transfusion was considered when the hemoglobin level fell below 100g/L or hematocrit fell below 30%.
An example is blood transfusion; in recent years, to reduce the risk of transmissible infection in the blood supply, donors with only a small probability of infection have been excluded. The result has been a critical shortage of blood for other lifesaving purposes, with a broad impact on patient care. [67]
The court ruled that therapeutic privilege can be upheld where the patient is not mentally impaired, but may refuse beneficial treatment because they do not fully understand it considering the following conditions are met; ‘(a) the benefit of the treatment to the patient; (b) the relatively low level of risk presented; and (c) the probability ...
Jehovah's Witnesses' literature teaches that their refusal of transfusions of whole blood or its four primary components—red cells, white cells, platelets, and plasma—is a non-negotiable religious stand and that those who respect life as a gift from God do not try to sustain life by taking in blood, [5] [6] even in an emergency. [7]
If all of the incidentally collected white blood cells are transfused with the platelets, substantial rejection problems can occur. Therefore, it is standard practice to filter out white blood cells before transfusion by the process of leukoreduction. Early platelet transfusions used a filter to remove white blood cells at the time of transfusion.
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