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Informed refusal of care — ABEM Board MCQ

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HardEthics, risk management, disposition, medicolegalInformed refusal of careABEM Board

A 45-year-old man presents as triage level 2 with chest pain and an ECG concerning for NSTEMI. He understands the risks, can explain alternatives, is not intoxicated, and still refuses admission because he must care for a child. Which of the following is the most appropriate disposition?

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Reveal the answer and explanation

Correct answer: E — Document capacity, informed refusal, risk discussion, alternatives, and return precautions

A patient with decision-making capacity may refuse recommended care; the ED clinician should document informed refusal and offer harm-reduction alternatives.

Reference: ACEP ethics guidance; ABEM EM Model