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Capacity refusal after head injury — DipIMC MCQ

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ModerateScene Safety and GovernanceCapacity refusal after head injuryDipIMC

A 46-year-old cyclist with a cracked helmet refuses transport after a brief loss of consciousness. He repeats questions, cannot recall the crash, has vomited once and wants to ride home. What is the most appropriate management?

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

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Correct answer: D — Assess capacity carefully and convey in best interests if he lacks capacity

Capacity is decision-specific and this patient has red flags suggesting impaired understanding and high-risk head injury. If he lacks capacity, care and conveyance should be in his best interests using the least restrictive approach. Speaking clearly or having a friend present does not establish capacity.

Reference: Mental Capacity Act 2005; JRCALC Guidelines