Restraint
In the right patient, with a solid understanding of the pharmacology and a plan to address potential side effects, ketamine can be an incredibly useful tool for EMS
3 EMS lessons from Minneapolis: EMS duty to the patient, even in uncomfortable situations
What we can learn about EMS responsibility to intervene from the death of George Floyd
The EMSA ambulance pulled over when she began to fight paramedics; she then ran from the ambulance and was struck by a car
EMS providers riding in the back of current-design ambulances are at high risk of injury or death during a crash
Police are investigating why the patient was unrestrained and able to take hold of the wheel
Troy Goode was behaving erratically after 4-5 hits of LSD, fled from police, and fought with EMS and hospital personnel before his death
Witnesses report and video shows man suspected of LSD overdose face-down on a stretcher with his legs pulled back and bound
The ability to think and act quickly when encountering a patient in an excited delirium situation could spell the difference between successful treatment and a lost life
The man jumped into front of ambulance when crew stopped to notify police of man’s behavior; he led police on a 10-mile chase
Sgt. James Brown died while in custody for a two-day DWI sentence; autopsy result cited natural causes by sickle cell crisis.
The family of a 27-year-old who died from positional asphyxia when secured in a prone position received a settlement from a lawsuit; 5 EMTs involved in the incident were suspended
Autopsy reports acute cocaine toxicity, bruises from baton strikes, TASER use, and body weight restraint before cardiac arrest and request for ambulance
Application of a four-level force continuum for patients with combative or violent behavior towards EMS providers
There are several things you can do to protect both your patient and yourself
Avoid harm and potential litigation by not making these errors with a violent patient at an emotionally charged scene
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