As I read your first posting on this and the subsequent responses, I tried to put myself in that situation. I have been a medic based in a trauma unit, I have taught well over 100 students to be medics and I've personally spent hundreds of hours riding "on the streets". Had one of my students told me they did what you described, I would have explained why we don't lie to patients, why there are laws to protect people's rights to refuse treatment and suggest they consider the consequences of their actions in the future. Then I would have patted them on the back and told them they did the right thing. Sometimes it's just that, the right thing to do. As a caveat, I was sitting here smugly thinking how I have never lied to a patient. Then after thinking for just a few moments, I realized it probably wasn't as uncommon as I thought and wiped the smug look off my face.