Refusal of Lifesaving Treatment Mental Capacity: When Psych Holds Become Medical Emergencies
Robert, a 61-year-old retired electrician in Cleveland, walked into the emergency department with crushing chest pain, a troponin level off the chart, and a clear command from his cardiologist that he needed immediate cardiac catheterization to prevent a fatal infarction. He refused. Not in a confused, mumbling way, but firmly, with eye contact, telling the … Read more