When do you notify a spouse?

I sent an employee to the ER this morning via ambulance. He was awake and responsive, he seems to have had a muscle spasm. As he was being wheeled out, I asked if he would like me to call his wife. He said no, she would freak out and that he would call her. My thought is that since he made the request, that I should honor it. He knows his wife better than I do. What rule of thumb do you use in emergency situations?

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