Sandra R. DiBrito, MD and Macey L. Henderson, JD, PhD
Organ donor potential should not be considered during active resuscitation of trauma patients, and trauma surgeons should not make organ donation requests.
AMA J Ethics. 2018;20(5):447-454. doi:
10.1001/journalofethics.2018.20.5.ecas4-1805.
Using the patient’s worldview to challenge his or her decision and establish a treatment plan—implying the view is shared by the physician when it is not—could be seen as manipulative and deceptive.
The patient appears to have decision-making capacity, has head trauma, a headache despite intoxication, and is irritable—and she refuses a CT scan of the head.