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Physician Engagement in EMS Transport Refusal Rates

The Role of Direct Physician Engagement in EMS Transport Refusal Rates: A Prospective Study

Who can join

Ages 18 and older · All sexes

Inclusion Criteria:

• Adult patients ≥18 years old in care of Mecklenburg EMS (MEDIC) on an emergency basis (911 call) who wish to refuse transportation to the hospital in whom MEDIC has, via existing processes and decision-making, engaged online medical control EMS Physicians for further guidance

Exclusion Criteria:

* Patients \<18 years old.
* Patient refuses to speak with online medical control EMS Physicians. MEDIC or patient requests to have primary care physician.
* Lack of clinical capacity.
* Incarcerated population.

About the study

The primary goal of this study is to find out if patients who speak with an EMS physician over the phone are less likely to refuse care compare to patients who do not speak with an EMS physician.

What is being tested

• Physician Consultation (behavioral)
• Standard of Care (behavioral)

Sponsor: Wake Forest University Health Sciences · Participants: 250 · Started: Apr 12, 2026

Contact the study team

• Stephen Tyler Constantine · Phone: 704-355-3181

Official record on ClinicalTrials.gov — NCT07107737

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Oct 1, 2026. Each study sets its own eligibility; the study team decides who can join.