In our tiny hospital in the sticks I triaged a woman for dental pain who had just come from another ER three towns away. They didn't give her the meds she wanted so she hitchhiked to us. she was loud and demanding, and got more so over the next 30 minutes. Security was called, and when she took a swing at him she was told to leave the facility.
So...my question is since everyone is required to have a medical screening exam if they present to triage, under what circumstances do other ERs consider a patient's behavior unacceptable and tell them to get out. If you don't kick them out how do you handle them without having everyone else waiting realize that the way to be taken back immediately is to be loud and demanding?