2019 EMT Refresher Instructor Manual

B.2.A

Situation: 24-year-old, complaint of behavioral emergency

Psych Restraint I

Scene Size-up: Safety:

Scene is safe, cops and family are on scene

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – psych Resources: BLS

Primary Assessment: General Impression: Person pacing around bedroom with clenched fists Mental Status: Alert Airway: Patent Breathing: 12 per minute Circulation: Palpable pulse at wrist, warm-dry, no severe bleeding

Desired Response: Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vitals: 1 Pulse: 98

2

3

102

98

Abdomen:

Unremarkable

BP:

106/70

102/78

100/80

Pelvis:

Unremarkable

Resp:

12

12

12

Extremities:

Unremarkable

SPO2: 98

98

98

Posterior :

Unremarkable

SAMPLE: (bystander provided when not quoted) S: “They are coming, but they wont get me alive” A: None M: Risperidone P: Psychosis, schitzophrenia L: chicken 2 hours ago E: Became agitated two hours ago and began breaking things in his room

OPQRST: O:

“I’m not going with a fight”

P: Q: R:

N/A N/A N/A

S: T:

It’s one of the worst episodes we’ve seen

2 hours ago

OTHER: This patient will not be verbally deescalated – he will need to be physically restrained. Family states he is paranoid and angry about government agents who are coming to get him