Ethical Debate: Case history: head injury and drunkennessBMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.6997.115a (Published 08 July 1995) Cite this as: BMJ 1995;311:115
- David W Hodgkinson,, consultant in accident and emergency medicine,
- Alistair J Gray, consultant in accident and emergency medicinea
- aStockport Acute Services NHS Trust, Stockport Infirmary, Stockport SK1 3UJ
A 46 year old man with a history of chronic heavy alcohol consumption fell down a flight of 20 concrete steps and sustained an injury to the left side of his head, bleeding profusely from a scalp laceration. An ambulance was called, and, with some difficulty, he was persuaded to go to hospital with a friend. On arrival at the hospital he refused to enter the accident and emergency department and became verbally and physically aggressive, but his friend eventually persuaded him to be seen in the department.
He initially seemed jovial and cooperative. He smelt strongly …