Guest guest Posted March 13, 2011 Report Share Posted March 13, 2011 Ok so I have my opinions on this but am curious what others believe and practice, would also like the legal gurus input. So the scenario is MVA sat. Night pt. Is obviously under the influence (ETOH smell, slurred speech, belligerent etc.) all TBI is ruled out (as best can be done in field). BGL is fine and they give you the typical 2 beer response. Pt. A&Ox4 (sorry Gene that's for short hand purposes only lol) They adamantly refuse further treatment and transport, and LE. Is not much help cause they can't place the driver behind the wheel. Pt may need sutures and has a possible fractured wrist so transport would be best to CYA. So what now?!?! Pt says " touch him again and he'll sue your ass, because he knows his rights and dad is an Attoroney. " . Should you transport or get a refusal? My opinion and this may be way off base but, I transport full c-spine precautions. I would rather error on the side of the pt. Than not. I have been told if they cannot sign for a loan at a bank (because they are drunk) then they cannot make appropriately informed decisions about their medical care. I would rather defend my patch because I did too much rather than not enough. Your thoughts? P.s. I know, I know; document, document, document, but that's not the response I'm looking for what do you all actually practice, SOP's, protocols, etc..... -Chris Sorry for the spelling and punctuation this was typed on the tiny keyboard on my iPhone Quote Link to comment Share on other sites More sharing options...
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