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**********************ALERT TO all the helpful people here at EMTCITY******************************************* STOP HELPING THIS GUY or GIRL STOP STOP STOP he's asking us to do his homework for him. Ellominero, this is the 2nd scenario that I've seen where you have cut and pasted a scenario and asked us to do your homework. Buck up buttercup and be a man or a woman and do the freaking work and post it here for us to review and let you know what we think of it. That is the way to learn. You are basically cheating.

You may want to seriously reconsider throwing stones, grasshopper.

Totally off pain med's now...aside from the odd tylenol I'm finally med free>>>:-) Last night I was able to stand long enough to help my hubby make dinner, first time since my surgery that I've been able to do that. Getting more mobile and more active every day.

Answer to question one: If hes A/Ox3 he has the right to refuse. Just be ready to respond to the adress again for a full code in a bit Answer to question two: Try getting the wife to convince him to go. use any other family members present, ask him if you may take a look at him. if he does use non invasive diagnostic tools only (twelve lead, lung sounds, BP, spo2, and pulse). This sounds to me like a text book case of an MI. If my theory is correct and the twelve lead shows it you can use that as evidence to back up your suggestion to go the hospital Answer to question 3: yes if he becomes unconscious check for pulse. if none present begin cpr, begin ACLS protocols, and request back up (we call out two additional medics while working a code) , if pulse is found go under implied consent, get a EKG, Iv established, secure airway if compromised, at the very least give Hi-con O2. Answer to question 4: depends on what the advance directive states.

Or Newfie time::: Which is an hour 30 minutes ahead of eastern daylight savings time