A conscious 92-year-old woman with chest pain refuses EMS treatment. How should this situation be managed?

In this situation, the conscious 92-year-old woman is experiencing chest pain, which can be a serious condition, but she is refusing treatment from EMS. Advising the patient of the risks associated with refusing care is crucial. This step is essential because it ensures that the patient is fully informed about the potential consequences of her decision, particularly in relation to her health and safety.

When a patient refuses care, especially under circumstances involving critical symptoms like chest pain, it is vital to communicate the seriousness of her condition. The EMS provider should outline the potential risks she faces if she chooses to decline treatment, including the possibility of a heart attack or other serious complications. This discussion empowers the patient to make an informed decision while demonstrating that the provider respects her autonomy.

This option aligns with the ethical obligation to prioritize patient safety while providing all the necessary information to enable an educated choice. The conversations about risks can also help establish trust and rapport, and could potentially persuade the patient to reconsider her refusal. By focusing on informing her about the hazards without pressuring her, the EMT is acting within their professional and ethical boundaries, prioritizing patient education and safety.