Prompt

A competent JW adult refuses blood; her child needs transfusion against parental refusal

Viva Stems

A competent JW adult refuses all blood for elective surgery. What binds you, and what is the anaesthetic plan?
The JW parents refuse life-saving blood for their 10-year-old. How does the law treat this differently, and what are your first three steps?
Talk me through capacity assessment when a septic delirious patient refuses antibiotics.
A drug error caused transient harm. How do you disclose it, and what does the evidence say families value?
Consent for spine surgery: is perioperative visual loss a material risk, and when do you discuss it?
What weight do guidelines carry if your care is questioned?
Who decides for the patient who lacks capacity, and what constrains that decision?
What are the common exam pitfalls here — Gillick vs Fraser, consent vs refusal, apology vs liability?

References4Show

[2]Piekarski F, et al. Perioperative blood management in Jehovah's Witnesses Anaesthesiologie, 2026.PMID 42081097
[5]De Brún A, et al. Understanding what shapes patient and family experience of the open disclosure process in the Irish healthcare context: a qualitative study BMC Med Ethics, 2026.PMID 41814246
[10]Pitsika M, et al. Perioperative visual loss and consent for adult spine surgery: a national survey of the practice amongst spine surgeons and anaesthetists(†) Br J Neurosurg, 2025.PMID 37943103
[11]Kranke P, et al. Decoding the meaning of medical guidelines and their medicolegal implications Eur J Anaesthesiol, 2024.PMID 37872878

Viva Stems

A competent JW adult refuses all blood for elective surgery. What binds you, and what is the anaesthetic plan?

The JW parents refuse life-saving blood for their 10-year-old. How does the law treat this differently, and what are your first three steps?

Talk me through capacity assessment when a septic delirious patient refuses antibiotics.

A drug error caused transient harm. How do you disclose it, and what does the evidence say families value?

Consent for spine surgery: is perioperative visual loss a material risk, and when do you discuss it?

What weight do guidelines carry if your care is questioned?

Who decides for the patient who lacks capacity, and what constrains that decision?

What are the common exam pitfalls here — Gillick vs Fraser, consent vs refusal, apology vs liability?

References4Show

[2]Piekarski F, et al. Perioperative blood management in Jehovah's Witnesses Anaesthesiologie, 2026.PMID 42081097
[5]De Brún A, et al. Understanding what shapes patient and family experience of the open disclosure process in the Irish healthcare context: a qualitative study BMC Med Ethics, 2026.PMID 41814246
[10]Pitsika M, et al. Perioperative visual loss and consent for adult spine surgery: a national survey of the practice amongst spine surgeons and anaesthetists(†) Br J Neurosurg, 2025.PMID 37943103
[11]Kranke P, et al. Decoding the meaning of medical guidelines and their medicolegal implications Eur J Anaesthesiol, 2024.PMID 37872878

Ethics, consent & medicolegal — Viva