Base Hospital contact during an AMA may be triggered for which scenario?

• A. For conditions indicated with a red asterisk (*) in Sections A, B or C
• B. When the patient is transported by BLS only
• C. When the patient is a minor
• D. When the patient signs a release

Answer: (A)

Base Hospital contact during an AMA is required when the patient’s condition is marked with a red asterisk in the policy’s sections A, B, or C. Those asterisks flag high‑risk or medically complex presentations where medical direction must review the situation before allowing a patient to refuse transport or depart against medical advice. The goal is to ensure patient safety, obtain proper physician guidance, and document the medical reasoning behind an AMA decision.

If none of the red-asterisk conditions are present, base hospital contact isn’t automatically triggered for an AMA, even though other factors (like involvement with a minor or the act of signing a release) may have their own protocols. The key point is that the asterisked conditions identify when physician oversight is specifically required.