If a LEO requests transport of a detained patient who has refused medical care, EMS should?

• A. Decline the request and leave the patient
• B. Transport if possible without approval
• C. Comply with the LEO and transport to the nearest appropriate ED
• D. Call Medical Control before acting

Answer: (C)

When safety and custody are involved, EMS must balance medical care with law enforcement direction. If a detained patient has refused care, a police request to transport to a hospital is a legitimate disposition option to ensure the individual receives a proper medical screening and care.

Complying with the law enforcement request and transporting to the nearest appropriate emergency department ensures the detainee is evaluated by clinicians, any immediate medical concerns are addressed, and the custody situation is maintained safely. It also avoids delays or disputes that could arise from withholding transport in a custody scenario.

Calling Medical Control beforehand isn’t typically required for a standard LE transport request, though you may do so if you’re uncertain about local policy or the patient’s capacity.