A 38-year-old woman and her 13-year-old son are brought to the emergency department after a high-speed motor vehicle collision. The woman has a pelvic fracture with ongoing bleeding (BP 88/54 mm Hg, HR 124/min, hemoglobin 74 g/L [120-160]); she is alert, oriented and answers clearly. The boy has a splenic laceration with hemoperitoneum and hemoglobin 68 g/L (115-155); his vital signs are shown. Both carry signed cards stating they are Jehovah's Witnesses and refuse blood products, and each says they understand they could die without transfusion. When the boy is asked privately, he says he is scared and "does not want to go against what Mom says," while his mother states she refuses blood on his behalf as well.
| Heart rate | 134/min |
| Respiratory rate | 28/min |
| Temperature | 36.4 °C |
| O2 saturation | 96%, room air |
| Blood pressure | 84/50 mm Hg |
Question 1 of 30
Regarding the mother's own care, which of the following are the most appropriate actions at this time?
Select 2. (0 / 2 selected)
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