Question

You are on the scene of a motor vehicle collision​ (MVC) where a patient struck a utility pole. Witnesses reported to you that the patient was unconscious after the​ impact; however, the patient is now​ conscious, alert and​ oriented, and refusing care and transport. The EMT​ should:

A.
have the law enforcement officer place the patient under arrest as the patient is obviously in danger.
B.
have the patient sign the refusal form and leave.
C.
inform the patient of your concern and try to persuade the patient to go to the ED to receive additional treatment.
D.
use informed consent and tell the patient that because he was​ unconscious, he is not allowed to refuse.

Answer 1

An EMT should inform the patient of potential risks and try to persuade the patient to go to the ED. The patient has the right to refuse medical treatment and may sign a refusal form after being properly informed.

Step-by-step explanation:

Approach to a Patient Refusing Care Post-MVC

When an EMT encounters a patient who has regained consciousness after an MVC and is now alert but refusing care and transport, the appropriate course of action is to inform the patient of potential risks associated with their condition and persuade the patient to receive further medical evaluation, such as going to the Emergency Department (ED). It is crucial to ensure the patient understands the potential consequences and is making an informed refusal. The patient should be encouraged to sign a refusal form that documents their decision to refuse care after being informed of the risks and benefits. Under no circumstances should the patient be forced into care or placed under arrest simply for refusing treatment.

An experienced EMT knows that every call is a blend of applying medical knowledge, observance of legal and ethical responsibilities, and maintaining a professional and compassionate demeanor. Despite the initial unconsciousness, if the patient is competent and can make informed decisions upon regaining consciousness, they have the right to refuse medical treatment. The EMT should respect the patient's autonomy while still advocating for their well-being.