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Coercion in the ambulance setting.

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Summary
This summary is machine-generated.

Ambulance staff frequently use physical restraints like blankets and Velcro straps on patients who resist medical help. This practice is common during patient transport, highlighting a need for safer methods.

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Area of Science:

  • Emergency medicine
  • Patient safety research
  • Healthcare practices

Background:

  • Patients resisting medical assistance may interfere with safety measures.
  • Ambulance personnel have historically used restraints such as blankets and Velcro straps.
  • The frequency of coercive restraint use in ambulances is not well-documented.

Purpose of the Study:

  • To determine the prevalence of coercive restraint use by ambulance personnel.
  • To investigate methods of patient restraint employed during ambulance transport.
  • To identify the frequency of observed unsafe practices related to patient transport.

Main Methods:

  • An online survey was distributed to ambulance service personnel in Innlandet.
  • The survey targeted approximately 400 personnel regarding the use of coercion.
  • 85 responses were collected and analyzed.

Main Results:

  • 62% of respondents reported using coercion on patients.
  • 44.7% of those using coercion restrained patients' limbs with blankets, bandages, or Velcro straps.
  • 42.4% observed colleagues foregoing seatbelts to manage patients.

Conclusions:

  • Coercive practices, including physical restraint, are regularly employed by ambulance personnel.
  • There is a clear need for improved strategies to ensure safe and secure patient transport.
  • Further discussion is required on providing caring and safe ambulance services for resistant patients.