A 43-Year-Old Man Is Brought to the Emergency Department After

question 433

Multiple Choice

A 43-year-old man is brought to the emergency department after suffering serious injuries during a fight at a local bar.  The patient smells heavily of alcohol, slurs his words, and has difficulty standing and walking.  It is unclear if he experienced a loss of consciousness.  Physical examination reveals numerous contusions and lacerations on his face that will require suturing.  The patient has unilateral pupil dilation in the right eye and appears sleepy.  When he is told that a head CT scan is needed for further evaluation, he rouses and becomes belligerent.  The patient begins to shout and curse, claiming that the staff is harassing him and that he will sue the hospital for violation of his civil rights.  Which of the following is the most appropriate course of action?

• A)Chemically sedate the patient and perform the head CT scan
• B)Contact the patient's next of kin to obtain consent for the head CT scan
• C)Discharge the patient if he signs a release of liability
• D)Monitor the patient and obtain consent when he is sober
• E)Obtain a court order to perform the head CT scan

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Definitions:

Bacterial Sensitivity

The susceptibility of bacteria to various antibiotics, determined through specific tests to guide effective treatment.

Pressure Ulcers

Injuries to the skin and underlying tissue, primarily caused by prolonged pressure on the skin, often occurring in bedridden patients.

Shearing Forces

Stresses that cause layers of material to slide past one another, often leading to structural failure or injury.

Compromised Blood Flow

A condition where the normal circulation of blood is hindered, leading to inadequate oxygen and nutrient delivery to tissues.