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My mother-in-law, Isabel Garcia, lost her battle with breast cancer tonight. She was a NYS EMT for almost 10 years. She was also an RN who worked dialysis for more years than I have been alive. She died peacefully with family at her side. RIP Issy, take a signal 5, we'll take it from here.

AHA says 160 mg to 325 mg Source: http://circ.ahajournals.org/content/122/18_suppl_3/S787.full

With a 7 minute drive and your assessment of his being sick but not sick enough to cardiovert, the decision to hold off till you arrived at the ER was I believe a sound one. Had you had a longer drive to the ED then I might have gone a different route.

It's not homework, actual call a few weeks ago. As soon as I got the monitor hooked up I had my partner initiate transport emergency traffic to the ER. I will tell you what I did en route, but I was hoping to hear how others would have treated.

I don't know if there is any precedence. I would have real trouble with a court telling me to do something against someone's wishes, unless the person was unable to make an informed consent. When I was a resident, we had the jail bring in a guy they thought had smuggled drugs in his rear so they brought him in. When I discussed it with the attending he said that we could not force the pt to do anything and he was free to sign AMA. The corrections officers weren't happy but they understood. In the end, they just checked his stool with every BM and found the drugs.