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Journal of Burn Care & Research:
doi: 10.1097/BCR.0b013e3182a366c5
Case Reports

Reducing Postburn Injury Anemia in a Jehovah’s Witness Patient

Barsun, Alura FNP; Sen, Soman MD, FACS; Palmieri, Tina L. MD, FACS, FCCM; Greenhalgh, David G. MD, FACS

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Abstract

Anemia is a complication of severe burn injury. Burn patients who refuse blood transfusions, such as Jehovah’s Witnesses, present difficult challenges, and treatment paradigms need to be altered to reduce blood loss and increase red cell restoration. In this report the authors present a case of a 36-year-old Jehovah’s Witness who suffered a 35% TBSA burn injury. In addition to standard burn injury treatment, the authors attempted to reduce blood loss with a combination of intraoperative (tranexamic acid) and perioperative (erythropoietin, intravenous iron) strategies.

Copyright © 2014 by the American Burn Association

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