2019 EMT Refresher Instructor Manual

Situation: 30-year-old, dispatched as behavioral emergency

Psych Restraint II

B.2.B

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 sitting in corner shivering Mental Status: Alert Airway: Patent Breathing: 14 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

2

3

Abdomen:

Unremarkable

Pulse: 106

102

104

BP:

114/70

110/78

112/80

Pelvis:

Unremarkable

Resp:

12

12

12

Extremities:

Unremarkable

SPO2: 98

97

96

Posterior :

Unremarkable

SAMPLE: (bystander provided when not quoted) S: “I can’t leave the corner – I’ll get sick from the UV light in the sun” A: None M: Quetiapine P: Schitzophrenia L: salad 1 hour ago E: Went outside in the sun and became agitated

OPQRST: O:

“ I started feeling sick when I went outside”

P: Q: R:

N/A N/A N/A

S: T:

It burns and it’s making me ill

3 hours ago

OTHER: The patient’s family wants him seen at the hospital. The patient will not leave the corner. He is not violent, but he will fight if forced from the corner. This patient will be de-escalated if given a hat and a large cover to protect him from the sun such as a space blanket