Acute Caremiddle twist
A 34-year-old man is brought to a Perth emergency department with a stab wound to the thigh. He is alert, gives a clear account of the assault, and knows the day and the place. Haemoglobin is 71 g/L (130-180) and the wound is still bleeding. He agrees to go to theatre but refuses any blood product, and repeats back to you that he understands he may die without transfusion; he has carried a signed refusal card for six years. His wife asks you to transfuse him once he is anaesthetised. Which one of the following should you do?