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Culturally safe emergency care — RCPSC EM MCQ

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HardEthics, medicolegal, Indigenous healthCulturally safe emergency careRCPSC EM

A competent Cree-speaking patient from a remote community needs time-critical transfer for PCI. He requests a Cree interpreter and for his auntie to join by phone because of prior racist care. What is the most appropriate communication plan?

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

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Correct answer: E — Use a Cree interpreter, include his auntie, and explain transfer while arranging departure

The best answer is “Use a Cree interpreter, include his auntie, and explain transfer while arranging departure”. The patient retains decision-making authority, and cultural safety is judged by his experience of respectful, non-racist care that addresses power imbalances. Use an appropriate interpreter, support his requested family participation and explain the benefits, risks and urgency in understandable terms while coordinating transfer. Family participation supports his choice; it does not replace his consent or justify delaying necessary reperfusion logistics.

Reference: Public Health Agency of Canada: Common Definitions on Cultural Safety: https://www.canada.ca/en/health-canada/services/publications/health-system-services/chief-public-health-officer-health-professional-forum-common-definitions-cultural-safety.html