emt-basic curriculum module 4

State of WisconsinEMT-Basic: A Practice BasedApproach to EMS Education2. Rigid restraints, such as metal handcuffs, should only beapplied by law enforcement officers, who must remain availableat all times, should the restraints need adjustmentI. Place patient on stretcher. Refer to local protocol. Positioning apatient face down on stretcher may place them at risk for positionalasphyxia. EMTs should not hobble or hog-tie any patients.J. Secure to stretcher with multiple straps. Patient’s position should in noway compromise breathing or circulationK. Cover face with surgical mask if spitting on EMT-BasicsL. Reassess breathing and circulation frequentlyM. Documentation1. Reason for use of restraints2. Time applied3. Method of restraint4. Position of the patient5. Ongoing assessment findings, including LOC, airway, breathingand circulatory status6. Other management and treatmentN. Avoid unnecessary force.X. Other Behavioral ProblemsA. Always try to talk patient into cooperationB. Do not belittle or threaten patientsC. Be calm and patient in your attitudeD. Do not agree with disturbed thinkingE. Be reassuringF. Avoid arguing with irrational patientsG. Suggest appropriate steps to takeH. Lower distressing stimuliI. Avoid restraints unless necessaryJ. Treat with respectAPPLICATIONProcedural (How)1. Demonstrate the assessment and emergency medical care of the patientexperiencing a behavioral emergency.2. Demonstrate the method of restraint.Contextual (When, Where, Why)1. The EMT-Basic will frequently handle behavioral emergencies since manypeople are aware these persons need help, but are unsure what to do inemergency situations.2. Because treatment of these emergencies usually requires long termmanagement, little medical intervention can be done in the acute situation.Module 4-88