05-08 - MANAGEMENT OF AGGRESSIVE BEHAVIOR Flashcards
Members are reminded that keeping a combative patient or a person exhibiting aggressive behavior in a ____ position for an extended period of time can be harmful.
Prone
All restrained persons shall be kept in a ___ _____ position whenever possible This position minimizes the chance of _______ and sudden ______ ______ from positional asphyxia.
Left lateral
Asphyxiation
Cardiac arrest
Restraint not appropriate-
If the person is simply argumentative or making verbal threats against members or bystanders, place a “___ ____ the Fire Department” call to OCD and stand by for LAPD. Members should stay back and monitor the person from a safe, reasonable distance.
Back up
Restraint not appropriate-
Patient is ______ or reacting in an uncontrolled manner that poses a potential immediate threat to their own safety – Members should move or shield patients from hard objects with soft items until the patient stops
Seizing
Restraint appropriate-
Ensure that you have enough members to restrain the person successfully – You should use a minimum of
Three members (One for each upper extremity and one for the lower extremities)
If time allows, explain your actions to ____ or _______ – Communicating your intentions to family or bystanders can help avoid additional conflict.
Family or bystanders
After the event – Ensure that your members receive first care as needed and thoroughly document the event in both the
F-902M and F-2
Incidents that required a patient to be restrained – Request an ____ ______ Captain to respond to your incident or to the hospital where the patient was transported.
Ems battalion
_______ _______ is a clinical syndrome that typically occurs after a patient has exhibited violent or combative behavior and is then placed in restraints.
Positional asphyxia
Positional asphyxia-
Upon arrival to the hospital, they are found to be profoundly hyperthermic, with body temperatures often exceeding ___° F, and their blood work shows them to have marked metabolic abnormalities.
105F
Positional asphyxia-
Once these patients deteriorate into ________ arrest, they very rarely are able to be resuscitated.
Cardiopulmonary
Particular risk factors for sudden death from positional asphyxia include _______ and _____ and the presence of stimulant drugs such as cocaine, amphetamines, or PCP.
Hypertension, obesity
It is vital to attempt to identify and reverse the two causes of agitation that may be reversible in the field:_______and ______
Hypoglycemia and hypoxia
The Taser weapon fires metal ____ attached to long wires into the victim (See Photo 3), delivering a brief ______ volt jolt of electricity.
Barbs
50,000
The Taser barb itself shall ___ ____ _______ in the field.
Not be removed