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Emergency treatment without capacity — DGM MCQ

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HardEthics and lawEmergency treatment without capacityDGM

An 85-year-old man with sepsis is unconscious and needs urgent antibiotics and fluids. There is no advance refusal and no time to contact family before starting treatment. He lacks capacity at present. Current medicines include no regular medicines known. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Treat in his best interests and document the decision

Urgent necessary treatment can be given in best interests when a patient lacks capacity and delay would cause harm. Waiting, doing nothing, proxy consent by staff and DoLS before emergency antibiotics are inappropriate. The MCA supports urgent care as well as protecting autonomy.

Reference: Mental Capacity Act 2005