An eighteen year-old female arrives in the emergency room with a profound nosebleed. you are the physician, and you have stopped the bleeding. she is now in a coma from blood loss and will die without a transfusion. a nurse finds a recent signed card from jehovah's witnesses church in the patient's purse refusing blood transfusions under any circumstance. what would you do

To begin with attempt to check whether there are any relatives I can contact, to illuminate them of the circumstance, and dangers of not transfusing, and talk about if these are genuinely the little girls wishes, and on the off chance that she comprehended that not accepting a transfusion could conceivably mean passing, and on the off chance that she was of sound personality when she settled on this choice. in the event that so then I would regard the desires and religious convictions of the patient and not transfuse, paying little respect to how troublesome, or my own perspectives.