JBL EMT Practice Exam

A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. Which of the following would be the MOST compelling reason to disagree with his refusal of transport?

1. He has experienced seizures since he was 20.

2. He is currently not prescribed any medications.

3. His Glasgow Coma Scale (GCS) score is 15.

4. His wife states that this was his "usual" seizure.

The correct answer is: He has experienced seizures since he was 20.

In this scenario, the most compelling reason to disagree with the patient's refusal of transport is the fact that he has been experiencing seizures since he was 20 years old. This information indicates a long history of seizures, which may suggest an underlying medical condition that requires further evaluation and management by healthcare professionals. Seizures can have various causes and potential complications, and it is essential for individuals with a history of recurrent seizures to receive appropriate medical assessment and treatment. This history increases the risk of future seizures and associated complications, making it crucial for the patient to seek medical attention despite appearing stable after the current seizure episode. Option B is not as compelling because the patient's current lack of prescribed medications does not necessarily indicate the immediate need for transport. Option C, stating that the patient's Glasgow Coma Scale score is 15, confirms his current mental status and responsiveness but does not address the underlying risk factors associated with his seizure history. Option D, the wife stating that this was his "usual" seizure, provides some context but does not directly address the need for further evaluation and medical care based on his history of seizures.