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Necklace cannot replace legal documentation
The idea of wearing a medical alert bracelet or necklace has been floating around now for quite a while, but please do not think for a moment that this alone will stop a blood transfusion in a medical emergency. In talking with the trauma team regarding the validity of the message on a medical alert, the view is different regarding life sustaining therapy than it is for a medical allergy or recognition of a specific diagnosis. If the jewelry were to say "NO BLOOD", it would also need to say something like the car window sticker many have "See Medical Directive in Glovebox" (or wallet in this case). There needs to be a completed POA or DPA that makes a legal case for NOT transfusing the individual, otherwise a trauma team will do everything possible to resuscitate the patient. Unfortunately, many individuals who have access to such documents continue to neglect the importance of completing and carrying the document with them, and until that situation is corrected, medical jewelry will make no difference in the individuals outcome if there is no one there to speak on their behalf.
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