Legal question here involving refusal of service. What do we do in the case of a pt refusing service, however is calling 911 for under the table services for a lift assist from a vehicle to the pt’s residence because they are not able to. Most times in a ROS situation we are asking the pt to get up and move around to show that they can do daily activities to be able to stay at home. Our equipment is “extrication equipment”. We’re now being called as a lifting service to utilize our lifting abilities and extrication equipment (stair chair, backboard, stretcher) to move pts who otherwise can’t into a residence and it being called a refusal of service. Where does the liability fall and what are paramedics suppose to do? As any other ROS, we wouldn’t treat the pt with medications, we would advocate to go to the hospital etc. This is a unique situation that a lot of us are finding ourselves in. Being called for a ROS as the reason on pt contact, but demanding services.

If we have an asthmatic patient that is refusing transport to the hospital after administering salbutamol, should we still proceed with dexamethasone administration?