I was various taught defensive tactics as part of my basic training. We had a police training agency come join us for a couple days to teach us how to defend ourselves, how to get out of situations, and how to avoid them altogether.
Do explain.3) Removing the words "Combative Patient" from pre-hospital medicine lingo. Such a person does not exist.
EMS brings a great variety of "patients". I think most all of us could indicate a patient who belongs in that category for a majority of reasons... There are the medical cases (intoxication, phsyc, metabolic disorders, trauma head inj etc) where it is understandable, then there are the plentiful other cases where we have combative patients with little cause... We are still left defending ourselves regardless of reason, the "cobative patient" exists... it isn't lingo, it's reality.
Even the 'drunk' 'hypo' or 'dementia patient' can quite reliably be defined as combative so I'm just curious what you mean? We often find reasons for patients combative state, it doesn't change our documentation of the 'combative patient' we just dealt with.
When I said "Do explain." I thought i would unintentionally provoke something unintended, Instead, I agree with everything you just said. That said, most of us understand the difference between our "patients" and an attacker, the difference comes in how we are trained to deal with said person. In the UK we are trained with what we are likely to face (ie.. knives...not guns) so I am sure it is different to the way tactics are taught in the US of which I cant comment.See....... therein lies the problem.
Purely definition. The idea is to have EMSers grasp the true difference between an "uncooperative patient" and an attacker. My research shows there is a reluctance to defend/escape when they keep thinking a person is a "patient".
for instance-- A cop turns over a drunk.....who has a scratch on his knee..... no real medical complaint except the guy wanted to get away from the cops....so he wants to be evaluated. Going down the road he decides to assault staff...... is this guy a patient? or is he an attacker?
Too many times it is documented as a "combative patient". The verbiage paints a picture of the guy not really trying to hurt staff. When in all actuality...the drunk piece of *** is attacking and should be defended against, escaped from and prosecuted.
It IS lingo. Period. If the person has a true medical condition they should be called "uncooperative patient".
The word "combative" is defined as "ready or inclined to fight". Although difficult to prove in court "INTENT" is what we are discussing. This is why it has taken me over 16 years of teaching this program to finally be getting national and international attention.
It is about changing the "culture" of EMS.
When I said "Do explain." I thought i would unintentionally provoke something unintended, Instead, I agree with everything you just said. That said, most of us understand the difference between our "patients" and an attacker, the difference comes in how we are trained to deal with said person. In the UK we are trained with what we are likely to face (ie.. knives...not guns) so I am sure it is different to the way tactics are taught in the US of which I cant comment.
It's symatics to define a 'combatitive dementia patient' as uncooperative vs your drunk fobbed off from police. Both are combative, both have different reasons for being so, and both require skills in managing. "Combative patient" isn't lingo when it comes to my paperwork. If you want to call them an uncooperative patient then fine, I will call the abusive dementia patient as combative despite their "true medical condition". It's not a reflection on the patient, it's presenting things as they are.
I really enjoy the concept that you have for dt4ems/fire. Are there any those type of courses, similar to yours, that you could recommend in the Boston/New England area?
Good thread. I recently took an EMS Street Survival Seminar through EMS1/Calibre Press with a coworker in Atlantic City, NJ. Great class, learned a lot. We have been sharing what we learned with our other coworkers as well.