I got that last night because I BLS's a lady who fell down 15 stairs at her home while ETOH the day before. She walked into a psych facility for help and then was admitted for being severe ETOH and opiate withdrawals. They transfer her to somewhere else, then they have use transport her to the ER for evaluation.
This lady has full recall, good short term memory recall, no LOC, no abdominal distension, lungs clear, eyes clear, ambulatory, denies NV. Only complaint is several contusion all over her body and a few abrasions. Along with head neck back pain. We C-Spine her and bring her in and the ER freaks out and calls a trauma alert.
The charge said to me condenscendily. "You know, you can refuse calls." I said back, "Yeah, but why, she has full neuro stability and is stable." Then she says, "Well you dont have x-ray vision." I really just wanted to be like - So exactly how would having contact 911 to transport her been any different, other than add about 10 -15 minutes to her being in the ER. We C-Spined, that's all they would have done on an ALS level.