Principles of Medical Ethics and Confidentiality

FRCEM EXAM QuestionsCategory: December 2016Principles of Medical Ethics and Confidentiality
FRCEM Intermediate Staff asked 2 years ago
Young male patient presented with a knife wound to buttocks, he asked you not to tell police,
Ambulance crew said (he came from area of frequent knife crimes).

A.What is your immediate action? (1 marks)
B.What other conditions in which will you disclose? (1 marks)

1 Answers
FRCEM Intermediate Staff answered 2 years ago
A.
Make patient safety and treatment your priority – Treat the patient first.manage with wound accordingly.

The victim should be asked to give consent to informing the police. However, the police should be informed in any case in all non- accidental gun and knife injuries

B.
1-Required by law, e.g. notification of a communicable disease
2-Relating to the courts or litigation, e.g. specific requests from a judge for relevant information
3-Relating to statutory regulatory bodies, e.g. DVLA, where a patient poses a threat to the public
4-In the public interest, e.g. patient has disclosed involvement in serious criminal activity such as
terrorism
5-To protect the patient or others, e.g. pat ient expresses homicidal intent towards a specific person