A 23-year-old woman with no significant medical history presents with

In cases of known or anticipated blood loss during surgery, the patient’s blood must be typed and cross-matched to administer compatible donor blood. The most common indication for blood replacement in surgery is hypovolemia. But, a small group of people do not accept blood transfusions or blood products due to religious beliefs. Their faith and beliefs can be an obstacle for management during surgery, and pose legal, ethical, and medical challenges for the medical provider. At what point, if ever, is it a true emergency and the patient’s request to not receive blood products overridden (either due to a person who cannot consent or through the courts)?

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