Case conferencePrehospital patients refusing care
References (22)
Medical control: What is it?
JACEP
(1978)- et al.
Medicolegal management of the organically impaired patient in the emergency department
Ann Emerg Med
(1985) - et al.
The ten-year malpractice experience of a large urban EMS system
Ann Emerg Med
(1985) - et al.
The (expletive deleted) shouter
JACEP
(1975) Legal issues in emergency psychiatry
Psychiatr Clin North Am
(1983)Making Health Care Decisions
Competency to give an informed consent
JAMA
(1984)- et al.
Medical control — Quality assurance in prehospital care
JAMA
(1986) Consent and confidentiality laws for minors in the Western United States
West J Med
(1987)Consent and restraint
Leaving against medical advice
Pediatr Emer Care
Cited by (36)
The Diagnosis and Management of Seizures and Status Epilepticus in the Prehospital Setting
2011, Emergency Medicine Clinics of North AmericaCitation Excerpt :Such patients must demonstrate to providers the mental capacity to make an informed medical decision to refuse care. In patients who have just had a seizure, it is unlikely that they will demonstrate intact mental status and capacity for medical decision making.12,13 Because the risk of seizure recurrence is approximately 6%, prehospital care providers and medical command physicians should ensure that patients understand the risks of refusal.14
Risk Management for the Emergency Physician: Competency and Decision-Making Capacity, Informed Consent, and Refusal of Care Against Medical Advice
2009, Emergency Medicine Clinics of North AmericaCitation Excerpt :Wear4 and Wicclair6 believe that the assessment of a patient's capability to make an informed treatment decision can be decoupled from the patient's final treatment decision. There is a theory of sliding-scale capacity that links the treatment decision rationale to the process used to reach the final treatment decision.1,7–9 In essence, this theory holds patients who choose a riskier treatment option to a higher standard of competency by requiring the patient to demonstrate greater clarity in explaining the rationale behind the choice of the higher risk treatment option.10
Refusal of Care: The Physician-Patient Relationship and Decisionmaking Capacity
2007, Annals of Emergency MedicineCitation Excerpt :Wicclair6 adopts a similar position.) Most commentators do not agree with Wear5 and Wicclair,6 arguing that the decision made by the patient is directly relevant to the assessment carried out.1,3,7-9 Patients considering a risky treatment, even if they agree, and patients who refuse care (who are presumably choosing a more risky option) should be held to a higher standard when their capacity is determined, which is often referred to as the “sliding scale” of capacity.
Against All Advice: An Analysis of Out-of-Hospital Refusals of Care
2003, Annals of Emergency MedicinePrehospital refusal-of-transport policies: Adequate legal protection?
2000, Prehospital Emergency CareOutcome study of prehospital patients signed out against medical advice by field paramedics
1998, Annals of Emergency Medicine