Patient at Keystone signs EMS refusal Heard on: Pennington SD Fire Dispatch Group Calls 00:12 00:00 With a patient refusal. Transcript This transcript is auto-generated from live dispatch audio and may be incomplete or inaccurate. It is not an official report and may change. 00:00 With a patient refusal. 00:03 Copy for Battle Creek. 00:05 And Battle Creek, just confirming you said patient refusal. 00:10 Yeah, they signed a refusal for them, 291. 9/4/2026 11:17 AM Medical Emergency Keystone, SD 57751 View on map