A 34-year-old man is brought to a Perth emergency department with a stab wound to the thigh. He is alert, give…

Question

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 o…

Accepted Answer

Accept his refusal and proceed to theatre.

Answer

Apply to the State Administrative Tribunal.

Answer

Ask his wife to consent to transfusion.

Answer

Request an urgent psychiatric assessment.

Answer

Transfuse after he loses consciousness.

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