A 22-year-old man arrives at the emergency department with a stab wound to the abdomen from an assault. He asks you not to tell anyone. What do GMC guidelines require?

Answer and explanation

Correct answer: D. Inform the police quickly of the wound, without giving his identity at first

  1. Step 1: GMC guidance on gunshot and knife wounds says doctors should inform the police when a person arrives with these injuries.
  2. Step 2: The report can be made without identifying the patient unless there is a further justification.
Answer
Inform the police quickly of the wound, without giving his identity at first.
Why not the others: Say nothing to the police unless he consents: The duty to report exists regardless of consent. Wait until he has recovered and can decide for himself before contacting anyone: Delay defeats the purpose. Contact his employer to explain the absence and the cause of the injury: Employers have no role.

Practise more Confidentiality and information governance.

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