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Your best protection against legal liability when a patient with decision-making capacity refuses EMS care and transport is to:

  1. advise medical control of the situation

  2. ensure that the family is aware of the risks

  3. err on the side of caution and transport

  4. thoroughly document the entire event

The correct answer is: thoroughly document the entire event

Thorough documentation is important in protecting yourself against legal liability because it provides a record of the situation and shows that you followed appropriate protocol. Option A, advising medical control of the situation, may be helpful in certain cases, but it alone does not provide sufficient protection against legal liability. Option B, ensuring that the family is aware of the risks, is not always possible as the patient's decision-making capacity should be respected. Option C, erring on the side of caution and transporting the patient, may not always be necessary or appropriate and could potentially lead to unnecessary treatments and costs for the patient. Therefore, thorough documentation is the best option for protecting yourself against legal liability in this situation.