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Multiple Choice

A 32-year-old male was hit in the head with a baseball. He is unresponsive to verbal stimuli but withdraws to pain. Why should you treat him?

In emergencies, when a patient cannot give consent, you treat under implied consent. This head injury has left him unresponsive to verbal commands and only responsive to pain, meaning he cannot understand or communicate his wishes. Waiting for permission could allow a life-threatening condition to worsen, so you provide necessary care to protect life. Voluntary consent isn’t possible here, and a do-not-resuscitate order or refusal would require a known directive, which isn’t indicated. Implied consent allows you to proceed with life-saving treatment until the patient can regain capacity or a legally authorized decision-maker is available.

In emergencies, when a patient cannot give consent, you treat under implied consent. This head injury has left him unresponsive to verbal commands and only responsive to pain, meaning he cannot understand or communicate his wishes. Waiting for permission could allow a life-threatening condition to worsen, so you provide necessary care to protect life. Voluntary consent isn’t possible here, and a do-not-resuscitate order or refusal would require a known directive, which isn’t indicated. Implied consent allows you to proceed with life-saving treatment until the patient can regain capacity or a legally authorized decision-maker is available.