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Tommy G.
  • 35, Male
  • United States
  • EMT-B
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Tommy G.'s Discussions

Intoxicated Patient refusal???
110 Replies

Started this discussion. Last reply by Skip Kirkwood Jul 29, 2009.

 

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Skip Kirkwood replied to Tommy G.'s discussion Intoxicated Patient refusal???
"The wake county way of handling this situation can be found on page 13 at the following link: http://www.wakegov.com/NR/rdonlyres/03BE5354-D58E-428E-BC95-6F0DAA4BA0A5/0/2008Combined.pdf Our advanced practice paramedics also carry a hand-held…"
Jul 29, 2009
Daryl Diabo replied to Tommy G.'s discussion Intoxicated Patient refusal???
"I work inan area with a lot of non natives and we seem to have the same problem with them refusing to be transported and yes ,the tribal police and the State police will usually sign off .so I guess it's not just a native american problem "
Jul 29, 2009
Jonathan Gilliam replied to Tommy G.'s discussion Intoxicated Patient refusal???
"Fortunately, this is something we only very rarely come across in Saudi because alcohol is illegal here. However, in my experience from the states, if you tell them they can come with you, or go with the police, they come with you. Some, you may…"
May 28, 2009
Nathan Klimek replied to Tommy G.'s discussion Intoxicated Patient refusal???
"There are a number of different issues being discussed here. The fist one I noticed is the discussion of the correct scale to use in determining proper mental capability. There really is no one thing that covers it all, I do feel however people do…"
May 28, 2009
John Dillon replied to Tommy G.'s discussion Intoxicated Patient refusal???
"Reasonable cause. Think of it like this. a bartender, if they serve a knowingly intoxicated person, because they just served him or her his 10th shot or a person comes in with slurred speech, blood shot eyes as well as other indicators of being…"
May 27, 2009
Garrett Hedeen replied to Tommy G.'s discussion Intoxicated Patient refusal???
"yeah he doesn't want to go, presents mental and legal capacity with displayed competence, he doesn't go. It is a little pet peeve for me when people say they are "calling medical control for a refusal (SOR)" They don't…"
May 27, 2009
The Cannulator replied to Tommy G.'s discussion Intoxicated Patient refusal???
"You don't take him. Easy for medical control to sit on the fat achers and set unachievable expectations in the real world. Got any worries get the coppers to deal with him as a public safety matter rather than a medical one."
Apr 23, 2009
Gemma Marie Kelley replied to Tommy G.'s discussion Intoxicated Patient refusal???
"I say use your common sense, look at your patient, are they competant enough to understand the consequences of treatment refusal - take into account why you were called there, what you find when doing obs, primary and secondary survey - they must…"
Mar 31, 2009
John Coburn replied to Tommy G.'s discussion Intoxicated Patient refusal???
"An interesting and pertainent discussion. Two points that I think might also impact decisions. Sometimes people who are intoxicated either are not truthful or don't remember their intake. "I only had two." We don't know where…"
Mar 31, 2009
Theresa O'Neil replied to Tommy G.'s discussion Intoxicated Patient refusal???
"Here in NH we would get the police involved and they would put the patient into protective custody and then they would join us for the trip to the hospital. Most of our intoxicated patients are just that, intoxicated to the point they can't…"
Mar 31, 2009
Tom Sasso replied to Tommy G.'s discussion Intoxicated Patient refusal???
"I think the best and easiest way to look at it is this. Don't seperate being intoxicated from any other Medical Condition. Add it too your list of Medical conditions can can cause Altered Mental Status, depressed CNS and yes, death. Simple as…"
Mar 11, 2009
Tom Sasso replied to Tommy G.'s discussion Intoxicated Patient refusal???
"Just FYI: I worked in a system with the same protocol "2 to wakeup, 2 for the road", never had a problem. I mentioned this in the system I work in now and WOW the fireworks I saw! Of course, the first system I did multiple narcan wakeups a…"
Mar 11, 2009
Tom Sasso replied to Tommy G.'s discussion Intoxicated Patient refusal???
"It seems everyone is very concerned from a Medical Liability Issue perspective. Understandable. But, as a Paramedic and Police Officer let me provide 2 perspecitves. 1st: If you have an intoxicated patient and release him and he dies/suffers…"
Mar 11, 2009
Nick Nudell replied to Tommy G.'s discussion Intoxicated Patient refusal???
"I'm putting you under Medical Arrest! You are in violation of paramedic penal code section 4, paragraph 3, section B which gives us the right to place you under medical arrest. Cheers, Nick Tom Bouthillet said:No, defensive medicine is not…"
Mar 2, 2009
danny replied to Tommy G.'s discussion Intoxicated Patient refusal???
"I have read many of the post and although I agree with much of what was said I find that one little bit of information which would be useful in determining if a refusal is a no go is the enviroment the person is in. I believe this along with…"
Mar 1, 2009
The Cannulator replied to Tommy G.'s discussion Intoxicated Patient refusal???
"Asytole. Lack of contractility from the lack of any electrical activity. Clearly this is the case. Maybe asynapse is more appropriate. I completely understood your post. I'm aware of all the water fairies owning EMS but that's for a…"
Mar 1, 2009

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Employer/Affiliation
EMT-B
Primary Agency/Department Type
Volunteer Fire/EMS Department, Volunteer Rescue Squad, Private EMS
Years in EMS/Public Safety
15
Relationship Status
Divorced

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