In an emergency where a patient cannot give consent, which action is appropriate?

• A. Proceed with necessary treatment to prevent harm.
• B. Delay treatment until consent is obtained.
• C. Ask a family member to decide.
• D. Record a note stating consent will be obtained later.

Answer: (A)

In emergencies, when a patient cannot give consent, care is provided under implied consent to prevent imminent harm or preserve life. This allows you to proceed with the necessary treatment without waiting to obtain formal consent, because delaying could worsen the patient's condition. If the patient regains capacity, you reassess and obtain consent for ongoing or future treatment. If there is a legally authorized surrogate or an advance directive available, follow those wishes, but in the absence of such guidance and with urgent need, treatment proceeds. Document that treatment was given under implied consent due to an emergency, note what was done, the patient’s status, and any attempts to contact family or surrogates. Do not delay care or postpone treatment with the expectation of obtaining consent later.