What must be done if there is a conflict between a physician's orders and the paramedic's judgment?

• A. Follow the paramedic's judgment.
• B. Ignore both and withdraw care.
• C. Contact Medical Control for guidance.
• D. Proceed with paramedic judgment.

Answer: (C)

When there’s a mismatch between a physician’s orders and what the paramedic believes is best, the proper path is to contact Medical Control for guidance. Paramedics operate under physician direction, so confirming or updating orders through Medical Control ensures the treatment aligns with the physician’s intent, legal authority, and patient safety. If Medical Control provides a different directive, follow that guidance. This approach respects the formal chain of command and prevents unilateral deviations. Ignoring the physician’s orders or acting solely on personal judgment could lead to inappropriate care and potential liability.