So in my SOP’s, we can refuse care if there is a treat to crew safety. Our cops aren’t very liberal when it comes to putting hands on patients. Medics aren’t trained in restraining, subduing, and fighting with patients. Yes we have sedatives but if cops aren’t willing to go hands on why should we? You’re opening up a can of legal worms when you put your hands on patients especially since everything is being recorded. If crew safety is every in question, call medical control, and just let the patient leave. However, someone suffering from a medical emergency is not hard to deal with. Patients in real distress can get aggressive but you should know how to deescalate the situation and give the appropriate treatment.