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Yes, an adult with capacity can refuse treatment or transport, even if you strongly disagree; you should explain the risks, encourage them to accept help and document the refusal, but you cannot force treatment except in very specific legal circumstances. If you believe they lack capacity, follow your training and local policy on acting in best interests.
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Should I ever skip catastrophic bleeding and go straight to airway and breathing?
When should a nosebleed be treated as an emergency?
Can I do more harm than good by starting CPR?
Is it safe to use abdominal thrusts on everyone?
When should a ‘simple’ nosebleed in a child be seen urgently?
What is the difference between heart attack and cardiac arrest?
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