I subscribe to this philosophy as well.Talk to Kip.
If a violent patient is on scene, I stay in the rig. If a violent patient is in the rig, I get out.
Hello,
I am looking for any info anyone might provide regarding the violent patient. guidelines, protocols, policy or whatever.
Before anyone says "Talk to Kip." I have burned loads of long distance with him over the last 2 weeks. Great guy by the way.
Jeff
First, welcome to the community!Hello,
I am looking for any info anyone might provide regarding the violent patient. guidelines, protocols, policy or whatever.
Before anyone says "Talk to Kip." I have burned loads of long distance with him over the last 2 weeks. Great guy by the way.
Jeff
First, welcome to the community!
While it will definitely be useful to evaluate other protocols and procedures, and I know you don't want to hear it, I really think that Kip is the person you need to talk to if you're serious about creating progressive protocols for your system.
I recommend Kip as an EMS professional and full time educator. Kip and the folks at DT4EMS are really on the cutting edge of proven tactics and techniques that work when dealing with combative and hostile patients. It's funny to hear folks talk about Kip's strategies and techniques in person, when I've known Kip as a member of our forum for the past few years. There is no better person to work with when developing strategies, and I've always found him to be a great communicator.
I too look forward to seeing what others post as far as protocols and guidelines, but I think you'll find that Kip is a bit ahead of his time when it comes to protection of the medic. We always preach scene safety first, but coming out of EMT school we have almost no actual techniques for dealing with challenging situations, and I think Kip's programs really fill that gap quite nicely. This is one of those situations where ten years from now we'll all be shaking our heads and wondering why he didn't implement defensive EMS sooner, but for now Kip is doing what he can through in-person training and online education.
Good luck!
Three words for you, Hockey.
Still. Not. Funny.
I assume that you are looking for non-medical protocols and guidelines, correct?I am looking for any info anyone might provide regarding the violent patient. guidelines, protocols, policy or whatever.
Punch them in the gonads if male, or kidneys if females, laugh cynically, and run away.
Works for me every time.
Actually kicking a female in the genital area hurts too... Like a male it's not easily guarded, full of nerves, and well, it hurts!
There is an operational theory that such things are best not put into specific written policy. You simply cannot pre-dictate how people are to respond to threats under stress. It simply does not happen often enough for them to be expected to respond by a cookbook formula that they have never had the opportunity to practice. I am sure that Kip would be the first to agree with this. Being told what to do is not likely to translate in an actual ability to do so. You have to practice it to the point of it becoming second nature in order to have any expectation of retention.
If you go putting procedural policies into place that you are not actually giving your personnel relevant training on, it is going to fail. And when it fails, the organization is liable. Likewise, if you put policies that limit your personnel's ability and options to defend themselves into writing, you are liable when they get hurt. Consequently, to a limited extent, ignorance is bliss. That means you want to establish only policies that relate to intuitive, common sense reactions that any reasonable man is likely to take. That includes:
1. Maintaining awareness of your surroundings.
2. Maintaining a non-threatening and non-provocative demeanor.
3. Retreating when threatened.
4. Calling for law enforcement support.
.