EMT Curriculum

4.12.B.2

Situation: 22-year-old, dispatches as behavioral emergency

Behavioral 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 kitchen screaming 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

2

3

Abdomen:

Unremarkable

Pulse: 88

82

88

Pelvis:

Unremarkable

BP:

106/70

104/78

102/80

Extremities:

Unremarkable

Resp:

14

14

14

SPO2: 98

98

98

Posterior :

Unremarkable

OPQRST: O:

SAMPLE: (bystander provided when no quoted) S: “I hate you – I hate you all” A: None M: Risperidone P: Psychosis L: cheese sandwich 2 hours ago E: Saw a violent movie on TV and became agitated

“You can’t make me go”

P: Q: R:

N/A N/A N/A

S: T:

It’s one of the worst situations ever

3 hours ago

OTHER: This patient will not be verbally deescalated – he will need to be physically restrained. Family states they just can’t deal with it anymore