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		<swivt:creationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2026-07-31T09:40:52+00:00</swivt:creationDate>
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		<rdfs:label>WBR0760</rdfs:label>
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		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Respect of the family's belief and stop the urgent tracheostomy</property:AnswerA>
		<property:AnswerAExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">In life-or-death emergency situations, a minor's urgent care must not be withheld under any circumstance.</property:AnswerAExp>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Perform the urgent tracheostomy despite the family's decision</property:AnswerB>
		<property:AnswerBExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Since urgent tracheostomy is the a mandatory life-saving procedure for this minor, the procedure should not be withheld. regardless of the family's beliefs.</property:AnswerBExp>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Call the patient's father to make sure he approves of the mother's decision</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">The physician must not waste time calling other family members while the patient is at risk of death.</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Call the ambulance to transfer the patient to another medical center</property:AnswerD>
		<property:AnswerDExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Physicians must not escape urgent cases at hand. Also, the patient might die while calling the ambulance and waiting for its arrival.</property:AnswerDExp>
		<property:AnswerE rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Get a second physician opinion on the matter</property:AnswerE>
		<property:AnswerEExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A second opinion is not necessary in the urgent care of minors.</property:AnswerEExp>
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		<property:Explanation rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A minor is any individual of less than 18 years of age. Generally, a minor's parents have the right to refuse medical care for their child. But in the case of an emergency involving a minor, patient care must not be compromised despite family refusal. In emergency life-or-death situations, the physician must perform whatever it takes to save the minor's life regardless of the parent's decisions. The physician must not waste time calling for help or inquiring about legal issues in such emergency situations. On the contrary, physicians are protected by law to provide urgent care for minors.&lt;br/&gt;
'''Educational Objective:''' In life-or-death situations, a minor's emergency care must not be withheld under any circumstance.&lt;br/&gt;
'''References:'''</property:Explanation>
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		<property:Prompt rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A sick-looking 7-year-old girl is brought to the emergency department (ED) in respiratory distress. The physician quickly inquires about her condition. Her mother informs the physician that the entire family lived in India and only recently emigrated to USA. The girl has not received any childhood vaccinations. On physical examination, the girl is in acute distress; she is sitting in a tripod position. Her breathing is laborious, and she is drooling. The diagnosis of acute epiglottitis is promptly made, but the girl suddenly turns blue and collapses. The physician rapidly perform an urgent tracheostomy. The mother intervenes, saying that the family's religious beliefs prevent the girl from having any surgical procedure. What must the physician do in this case?</property:Prompt>
		<property:RightAnswer rdf:datatype="http://www.w3.org/2001/XMLSchema#string">B</property:RightAnswer>
		<property:SubCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Head and Neck</property:SubCategory>
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		<property:WBRKeyword rdf:resource="&wiki;Tracheostomy"/>
		<property:WBRKeyword rdf:resource="&wiki;Ethics"/>
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		<swivt:wikiPageModificationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2020-10-28T01:36:34Z</swivt:wikiPageModificationDate>
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