I get it Bro, really. A favorite thing to do when putting a dissecting ascending aorta to sleep is privately cussing out the field/ER folks for the single pink hubbed IV catheter in the AC that is the sole access for the next few minutes. What we fail to acknowledge is that the pain and distress that the patient is in makes respectable peripheral access impossible and that well functioning 20 ga catheter being there at all is a miracle.
But...that was kind of my point...cool the patient off with narcotic and better access follows. Her refusal is unfortunate for you, but it's a non negotiable once in the hospital. It is integral to her therapy which she is consenting to by her allowing an IV and transport in the first place.