Consesnt vs. Responsibility;

[Rebecca Tucker]

Sounds like you should have involved law enforcement for a 5150 which would 
have thus allowed the EMS-B to take him without his consent (In otherwords 
temporary protective custody)
Rebecca
----- Original Message ----- 
From: "oded private" <tangentcarrot at hotmail.com>
To: <trauma-list at trauma.org>
Sent: Saturday, November 04, 2006 11:05 AM
Subject: Consesnt vs. Responsibility;


> Young Man (mid 20's),thin and healthy appearing, working in night club, 
> crashes at the club. He is unressponsive to voice or pain (GCS score=3), 
> but has a patent airway, is breathing Spontaneuosly and has a strong pulse 
> at around 70 bpm. According to friends, he didn't take drugs or drink 
> excessive alcohol, but might have been hurt by another clubber. I order 
> the activation of the EMS. within ~1 min. he starts waking up and vomits. 
> We take him outside, where I learn his boss canceled the bus since "his Ok 
> now". He keeps on vomiting, has a thready pulse, is shivering, and has 
> retrograde and antegrade amnesia. Claims are he had been stuck in the 
> head. Finaly,I manage to convience him to take the bus to hospital. When 
> the bus comes, the boss, once again, insissts that the owner will take him 
> to the hospital. Ambulance personnel don't even argue and get away, 
> inspite of my attempts. Finaly, we get to the hospital by car, at least 40 
> min post injury (?).
>
> The first dillema is- should EMS personnel (EMT-B'S, in this case) insist 
> with such pateints? I tried conviencing them to "talk some sense" into 
> him, but they refused,despite my description of coma and amnesia, saying 
> they couldn't force him and that "he looks fine now", and left the scene.
>
> What are your thoughts?
>
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