Against Their Will
Download MP3In this episode of The Standard of Care podcast, hosts Samantha Johnson and Nick Adams delve into the complex legal framework of patient consent in EMS. What happens when a patient refuses care, even in life-threatening situations? How should EMS professionals navigate the fine line between consent, implied consent, and refusal, all while staying within the legal boundaries? Samantha quizzes Nick on real-world scenarios, offering practical insights on handling refusals, informed consent, and what EMS providers need to know about patient capacity.
Whether you're a seasoned paramedic, new to the field, or just brushing up for the National Registry exam, this episode offers valuable knowledge on critical issues you may face. Get actionable advice, hear relatable examples, and understand the nuances that could impact your next decision. Tune in now to explore this important topic—and remember, you can find The Standard of Care wherever you listen to podcasts or on our website at flightbridgeed.com/explore. While you’re there, check out our award-winning courses designed to enhance your professional skills and knowledge.
Key Takeaways:
- Understanding patient capacity is critical in determining whether you can proceed with care, even if consent is initially given. If a patient has capacity, their refusal must be respected, even in life-threatening situations.
- Implied consent allows EMS providers to intervene in emergencies when a patient is unconscious or unable to give explicit consent, but only within the necessary scope of care.
- Informed refusals are equally important as informed consent. EMS professionals must ensure patients fully understand the risks of refusing care and document everything thoroughly.
FAST25 | May 19-21, 2025 | Lexington, KY
🔥 FAST25 is back—bigger, bolder, and hotter than ever! 🔥
This isn’t just another conference—a high-energy, immersive experience for pre-hospital and critical care transport pros. Expert-led sessions, hands-on workshops, and unfiltered discussions will take your practice to the next level.
🚀 New for 2025: The Creator Festival – Featuring “Burnt Ones,” a spicy take on Hot Ones, where top EMS creators tackle scorching hot wings while answering the most challenging questions in the industry. Expect live demos, interactive exhibits, and big-name influencers sharing their insight in a way you won’t find anywhere else.
Plus, a killer vendor experience, special guests, catered lunches, and after-hours events that make networking effortless and enjoyable. FAST25 is where it all happens.
📍 Central Bank Center | Lexington, KY
🏨 Hilton Lexington/Downtown (special rates available!)
🎟️ Tickets are limited—grab yours now: flightbridgeed.com/fast25
🏨 Hilton Lexington/Downtown (special rates available!)
🎟️ Tickets are limited—grab yours now: flightbridgeed.com/fast25
Creators and Guests
Host
Nick Adams
Experienced Fire and EMS Captain with a demonstrated history of working in the public safety industry. Skilled in Crisis Management, Government, Law Enforcement, Emergency Management, and Fire Management. Strong healthcare services professional with a B.S. focused in Emergency Management/Homeland Security and a Masters in Public Administration from Jacksonville State University.
Host
Samantha Johnson
Senior Associate General Counsel at Grady Health System, a major public academic healthcare system in the U.S. My role involves advising on legal aspects of patient care, ethics, HR, compliance, and regulatory issues. I conduct training, draft and review legal documents, and represent the Health System in various legal proceedings, including guardianship cases in Fulton County Probate Court. I also focus significantly on Grady Health System’s EMS division, providing legal advice and hosting “The Standard of Care” Podcast on EMS legal issues. I chair the In-House Counsel Association of the Georgia Hospital Association and am a member of the State Bars of Georgia and South Carolina. I hold an MBA and MHA from Georgia State University’s J. Mack Robinson College of Business (2014).
