adamjh3
Forum Culinary Powerhouse
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I had an IFT call a couple nights ago that raised some questions for me.
We were dispatched to ESU - Emergency Screening Unit
Encountered a 17yo M. in handcuffs flanked by two LEOs. Pt. was aggravated, verbally aggressive towards the officers, myself and my partner.
C/C of disturbance in behavior secondary to ETOH consupmtion. Pt. encountered by PD at home after mother called feeling she was in danger. En route to ESU Pt. stated he was suicidal/homicidal.
Normally adolescents brought in to ESU by LE are left in the care of the facility and PD goes on their merry way. The Nurse at the facility stated as soon as PD released the handcuffs from the pt. he became violent and assaulted the two officers, thus the police placed the cuffs back on and stayed there with him until we showed up.
Pt. was going to the ER to be evaluated and treated for the ETOH consumption.
With PD assistance we got him on our gurney and in 4pt velcro restraints without too much difficulty. At this point the patient seemd to have calmed down a bit when I talked to him, asked him what was going on, etc. After we got him in the ambulance the Pt. looked me in the eye and said he was going to get out of the restraints, one officer said "Go for it, if you're lucky you'll rub your wrists raw." At that point the patient became more agitated/aggressive, began fighting the restraints, spitting, and yelling the he'd "get out and kill all of us."
The officer continued to taunt the patient up to and including physically pushing him back down on to the gurney. I'll admit that the officer was pretty witty, and if I was watching this on an episode of "Cops" I might have gotten a couple chuckles, but I felt this was wholly inappropriate and my partner and I could have kept him calm or at least compliant.
I took the officer aside and informed him that my pt. was likely becoming more aggresive because of how he was being talked to. I informed him that we could probably calm him down for the tx, but asked him to follow us over to the ER just in case. After much internal debate, the officer agreed to send the other officer on scene to tail us in his car.
During Tx the pt. was pretty calm, we talked about the playoffs and football, and he was completely fine.
With that out of the way, how would you have handled this situation?
We were dispatched to ESU - Emergency Screening Unit
The Emergency Screening Unit provides emergency psychiatric evaluation, crisis stabilization, and brief outpatient counseling to children, adolescents (age 17 and under) and their families in crisis.
Encountered a 17yo M. in handcuffs flanked by two LEOs. Pt. was aggravated, verbally aggressive towards the officers, myself and my partner.
C/C of disturbance in behavior secondary to ETOH consupmtion. Pt. encountered by PD at home after mother called feeling she was in danger. En route to ESU Pt. stated he was suicidal/homicidal.
Normally adolescents brought in to ESU by LE are left in the care of the facility and PD goes on their merry way. The Nurse at the facility stated as soon as PD released the handcuffs from the pt. he became violent and assaulted the two officers, thus the police placed the cuffs back on and stayed there with him until we showed up.
Pt. was going to the ER to be evaluated and treated for the ETOH consumption.
With PD assistance we got him on our gurney and in 4pt velcro restraints without too much difficulty. At this point the patient seemd to have calmed down a bit when I talked to him, asked him what was going on, etc. After we got him in the ambulance the Pt. looked me in the eye and said he was going to get out of the restraints, one officer said "Go for it, if you're lucky you'll rub your wrists raw." At that point the patient became more agitated/aggressive, began fighting the restraints, spitting, and yelling the he'd "get out and kill all of us."
The officer continued to taunt the patient up to and including physically pushing him back down on to the gurney. I'll admit that the officer was pretty witty, and if I was watching this on an episode of "Cops" I might have gotten a couple chuckles, but I felt this was wholly inappropriate and my partner and I could have kept him calm or at least compliant.
I took the officer aside and informed him that my pt. was likely becoming more aggresive because of how he was being talked to. I informed him that we could probably calm him down for the tx, but asked him to follow us over to the ER just in case. After much internal debate, the officer agreed to send the other officer on scene to tail us in his car.
During Tx the pt. was pretty calm, we talked about the playoffs and football, and he was completely fine.
With that out of the way, how would you have handled this situation?