A patient is admitted for treatment after motor vehicle accident and he is aggressive and demands to be released from th

[answerhappygod]

A patient is admitted for treatment after motor vehicle accident
and he is aggressive and demands to be released from the
hospital. He needs to be treated for blood loss and further
examination of severe abdominal injuries and an obvious head
injury.
As you go to put up the first of many bags of IV blood he looks
at you and firmly states "I do not consent to this
intervention. Do not give me this
IV fluid".
The doctor leading the resuscitation and the senior nurse both
state "start the fluid or he will likely not survive".
Given what you know in this scenario what is your best
course of action?
Select one:
a. Your first obligation is to the autonomy of the patient
- it would be ethically wrong to commence the IV blood at this
time
b. Clinicians can always administer life saving treatment
in the event of a severe injury - eve if the patient refuses, so
the blood should be administered.
c. The presentation of the patient means that there is
doubt as to his capacity to consent fully to his treatment -
therefore the blood can be administered
d. You are obliged to follow the orders of the team leader
and the consequences of refusal would be the death of the patient -
therefore you must infuse the blood for these reasons