Right now in this economy, a lot of people are not taking ambulances. Medical debt is a difficult thing and a concern for many who are unemployed now or under insured. If you are only a BLS truck, there may not be much you can do for the patient. However, I hope the wife stayed calm enough to give the patient a smooth and safe ride to the hospital.
Actually he explained to me that he felt no pain just a slight ache, it was a clean cut minor bleeding and perfect canidate for replantation.
We have ALS if needed. This guy with his presentation was not a canidate for an ALS truck, minor pain, no bleeding and hemodynamically stable. He rides with us, he chose not too and that is his right.