losartan-potassium and ferric-hydroxide

Topics: Anemia; Drug Combinations; Drug Costs; Erythropoietin; Ferric Compounds; Humans; Infusions, Intravenous; Kidney Failure, Chronic; Renal Replacement Therapy; Solutions; Sucrose

Jehovah's Witness followers do not accept blood derived transfusions and available methods for avoiding transfusion have been used with degrees of success, demonstrating that the probability of death after trauma in these patients may not be significantly different from religious groups. In this report, we describe the case of a child victim of a multiple trauma with severe anemia due to blood loss, whose family would not authorize blood transfusion because of their Jehovah's Witness faith. We discuss the current indications for restricting transfusion, as well as highlighting new tools that contribute to the success of minimizing blood loss, thus avoiding transfusion.

Topics: Accidents, Traffic; Anemia; Anti-Bacterial Agents; Case Management; Child; Colloids; Combined Modality Therapy; Craniocerebral Trauma; Crystalloid Solutions; Culture; Debridement; Dopamine; Erythropoietin; Ferric Compounds; Fluid Therapy; Folic Acid; Hemorrhage; Humans; Isotonic Solutions; Jehovah's Witnesses; Male; Multiple Trauma; Plasma Substitutes; Vitamin K