Thread subject: NEPI :: Consent

Posted by maroju on 21-09-2007 23:25
#1

Scenario 1
A 9 year old boy is brought to the ED by his parents. He has suffered a 5 cm laceration over his right knee. The child started screaming the place down when I mentioned 'stitches'. The parents also look concerned. They have refused to let me proceed with suturing. What do I do now? Would it amount to battery if I ignored the child's and parents' wishes and continued to suture by holding the kid down? (and, what would you do if this child is a Type 1 Diabetic??)

Scenario 2
A 16 year old girl booked into your ED complaining of heavy, painful bleeding PV. Urine pregnancy test was positive for bHCG. You have diagnosed an ectopic pregnancy and the obstetrician suggested urgent laparotomy. She however has requested you not to inform her parents. Would you breach confidentiality if you informed her parents?? What would you do?