Forensic Medicine · Consent, Professional Negligence and Medical Ethics (Consumer Protection, Vicarious Liability)

A 14-year-old patient requires an emergency appendicectomy, but parents are unavailable and uncontactable. Which of the following provides the correct legal/ethical framework for proceeding?

  • A Emergency doctrine — implied consent applies; treatment to preserve life without awaiting guardian consent is lawful
  • B Treatment must be deferred until a parent or guardian signs consent regardless of urgency
  • C Consent of the patient alone is sufficient because the Majority Act 1875 classifies medical decisions as an exception
  • D Court order must be obtained before any emergency treatment of a minor
Correct answer: A. Emergency doctrine — implied consent applies; treatment to preserve life without awaiting guardian consent is lawful

Explanation

The emergency doctrine (doctrine of implied consent in emergencies) recognises that when a patient — whether minor or adult — faces a life-threatening emergency and consent cannot be obtained, the law implies consent to lifesaving treatment. A reasonable person would consent to emergency treatment; therefore, surgeons are not liable for battery or negligence for providing necessary emergency care. Indian jurisprudence and medical ethics support this position. Deferring life-saving treatment awaiting consent is itself potentially negligent.

Reference: The Essentials of Forensic Medicine and Toxicology (Narayan Reddy), 34th ed.

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