No. 20-18 - MANAGEMENT OF PATIENTS IN-CUSTODY OR WITH COMBATIVE BEHAVIOR

Question 1

PIC may refuse prehospital treatment but they may not refuse ______

Answer 1

Transport

Question 2

Patients who are “______” by law enforcement but are not under arrest are not in custody so they retain the right to refuse transport.

Answer 2

Detained

Question 3

At no time shall a PIC be transported by LAFD ambulance to a police _____, police ______, or ____.

Answer 3

Station
Infirmary
Jail

Question 4

Department of Health Services (DHS) Reference 606 defines a patient as:

“A person who seeks or appears to require medical ______ and/or medical ______.”

Answer 4

Medical assessment and or medical treatment

Question 5

A law enforcement request for transport to medical facilities other than the closest may be honored with ____ ______ concurrence

Answer 5

Base hospital

Question 6

_____ ________ shall always be attempted prior to the application of physical restraints unless members perceive an immediate danger to their safety or the safety of others on scene.

Answer 6

Verbal de-escalation

Question 7

_____ reveal actions but not intent. With that, ________ your intentions in a manner that can be heard should engagement become necessary

Answer 7

Images

Verbalize

Question 8

Restraints shall be applied as a two point padded ____and ___ restraint or four point padded _____ and _____ restraints.

Answer 8

Wrist and belt

Wrist and ankle

Question 9

The following methods of restraint shall NOT be utilized by EMS personnel:

Hard plastic ties or any restraint device requiring a ___ to remove.

Answer 9

Key

Question 10

The following methods of restraint shall NOT be utilized by EMS personnel:

Restraining a patient’s _____ and ____ behind their back.

Answer 10

Hands and feet

Question 11

The following methods of restraint shall NOT be utilized by EMS personnel:

“_____” method (e.g., backboard, scoop stretcher or flats).

Answer 11

Sandwich

Question 12

The following methods of restraint shall NOT be utilized by EMS personnel:

Materials applied in a manner that could cause ______, _______ or ________ compromise (e.g., gauze bandage or tape).

Answer 12

Vascular, neurological, or respiratory compromise

Question 13

Restrained extremities should be evaluated for pulse quality, capillary refill, color, temperature, nerve and motor function immediately following application and every __minutes thereafter.

Answer 13

15 mins

Question 14

Under no circumstances are patients to be transported in the _____ position regardless of who applies the restraint.

Answer 14

Prone

Question 15

Restraint methods must allow the patient to straighten the ______ and _____ to take full breaths.

Answer 15

Abdomen and chest

Question 16

The _______ Spit Hood is the only acceptable device to control the exposure of prehospital care providers to a patient’s bodily fluids and when the patient is combative, belligerent, or otherwise uncontrollable and when an N95 mask or oxygen mask cannot be safely applied.

Answer 16

Tranzport

Question 17

If not immediately available at a time of need, a _____, ______ or other shielding device may be temporarily applied in a loosely fitting manner.

Answer 17

Towel or sheet