DB 05-08 Management of Aggressive Behavior

Question 1

When restraining a person with aggressive behavior, you should use a minimum of ______ members.

Answer 1

-3 members. One for each upper extremity and one for the lower extremities.

(If the person is in a prone position, do not put weight on the person’s back.)

Question 2

One common denominator in bad outcomes is the POSITION of the patient during the restraint process.

Members are reminded that keeping an aggressive/combative patient in a _______ position for an extended period of time can be harmful.

Answer 2

Prone

Question 3

All restrained persons shall be kept in a LEFT LATERAL position whenever possible.

This position minimizes the chance of?

Answer 3

-aspiration

-sudden cardiac arrest from positional asphyxia.

(also allows better monitoring of patient’s condition while they are in restraints.)

Question 4

If the person is simply argumentative or making verbal threats against members or bystanders, place a “_________” call to MFC and stand by for LAPD.

Members should stay back and monitor the person from a safe, reasonable distance.

Answer 4

Back up the Fire Department

Question 5

If _______ is on scene; their role is to deal with persons with aggressive behavior.

Answer 5

LAPD

Question 6

The only time Fire Department members SHOULD become actively involved in restraining a person or patient with aggressive behavior is when they are UNARMED and?

Answer 6

pose an immediate danger to themselves or others.

Question 7

Incidents that required a patient to be restrained:

Request a _______ to respond to your incident or to the hospital where the patient was transported.

Answer 7

EMS Battalion Captain

Question 8

Positional asphyxia typically occurs after a patient has exhibited violent or combative behavior and is then placed in restraints.

Particular risk factors for sudden death from positional asphyxia include:

Answer 8

-hypertension

-obesity

-presence of stimulant drugs such as cocaine, amphetamines, or PCP.

Question 9

Persons demonstrating aggressive behavior may be doing so because of an acute medical condition.

It is vital to attempt to identify and reverse the two causes of agitation that may be reversible in the field: ________ and _________.

Answer 9

hypoglycemia and hypoxia.

Question 10

Necessary treatments of patient once restrained:

Answer 10

-Finger stick for Blood glucose

-high flow o2 via face mask

(For possible hypoxia and/or hypoglycemia)

Question 11

A Taser weapon fires metal barbs attached to long wires into a victim delivering a brief ______ volt jolt of electricity.

Answer 11

50,000v

(This causes diffuse muscle spasms, which usually cause the individual to collapse to the ground)

Question 12

True or False?

The Taser barb itself shall not be removed in the field.

Answer 12

True

Question 13

All restrained patients shall be transported by _________ and shall be monitored with continuous PULSE OXIMETRY.

Answer 13

-paramedics

Question 14

All restrained patients shall have their VITAL SIGNS and MENTAL STATUS documented every _______ minutes.

Answer 14

5 mins

Question 15

Restrained extremities shall be evaluated for pulse quality, nerve and motor function.

This evaluation shall be documented every _____ minutes

Answer 15

15 mins

Question 16

________ personnel shall accompany all restrained persons being transported to the hospital.

Answer 16

LAPD or other law enforcement

Question 17

________ is the most CRITICAL FACTOR to determine your course of action when encountering aggressive patients.

Answer 17

Time

(Is there enough time to wait for assistance or is it necessary to act immediately to prevent the person from harming themselves or others?)