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Now we need to look at consent, either implied consent or actually consent from the patient themself. We need to look at this in two areas, one as the first responder, and one from the emergency services side. As a first aider or a first responder, we need to ask permission to treat the patient. If they ask you for help, they have given you consent to treat them. Whereas if they go unconscious, then it's implied consent. You then have a duty to care for that patient until another service or somebody more professional comes along and takes over from you. So ask for their consent before treating. If they go unconscious whilst you are talking to them, or if you arrive on the scene and they are already unconscious, it is implied consent. You then have a duty to look after them. The emergency services work exactly the same. They will ask you if you need help, but also if you go unconscious, it's implied consent.

But we can not and must not ever leave patients alone if we have a concern that they are not well. That can come in when drunks, drugs, alcohol, all that type of stuff, take over the control of the brain and the patient will deny they need any help. They will refuse help, but we still have a duty to take care of them. What we have to do is to pass that on to a relevant body. So as a first responder, you would be passing it on to the ambulance service. The ambulance service will arrive on the scene and they get told that they do not want any help. They would pass it on to the police, and the police would take it and deal with it from that point on. But there must always be a chain of action, a chain of safety, to make sure that that patient does not get forgotten, ignored, left, or harmed due to us walking away without taking their best interests into account.