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Few clinical situations place intensive care practitioners in a more uncomfortable position than does treating patients of the Jehovah’s Witness faith. The faith-based refusal of autogenous or allogenic blood transfusions conflicts with the typical life-saving intent implicit in the critical care environment. However, it is our obligation to have a basic level of understanding of the set of beliefs that leads to the choice to refuse this specific set of life-saving therapies, while accepting other aspects of modern medical care.

Special Feature: Critical Care Management of the Jehovah’s Witness Patient