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Parental refusal of treatment — DCH MCQ

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HardEthics and communicationParental refusal of treatmentDCH

A 6-year-old needs urgent blood transfusion after trauma. His parents refuse because of religious beliefs; the child is hypotensive and haemoglobin is 55 g/L. What is the most appropriate management?

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

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Correct answer: B — Act in the child's best interests while seeking senior and legal support

In an emergency, clinicians should act in the child's best interests and seek senior, safeguarding and legal support as needed. Parental responsibility does not permit refusal of life-saving treatment when serious harm is likely. The pearl is to communicate respectfully while prioritising urgent stabilisation.

Reference: GMC 0-18 years guidance; Children Act principles