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Violent patients and the prehospital provider
1Department of Emergency Medicine, University of North Carolina, Chapel Hill.
Annals of Emergency Medicine
|August 1, 1993
Summary
Prehospital providers face frequent violence, with 67% reporting injuries. Improved protocols and training are crucial for managing violent patients and ensuring provider safety in emergency medical services.
Area of Science:
- Emergency Medicine
- Prehospital Care
- Public Health
Background:
- Violence against prehospital providers is a significant concern.
- Existing protocols for managing violent patients in prehospital settings are often inadequate.
Purpose of the Study:
- To estimate the frequency of violence towards prehospital providers.
- To identify current methods for managing violent patients.
- To explore educational, medical, and legal aspects of managing violent patients.
Main Methods:
- A survey of National Association of EMS Physicians registrants.
- A descriptive review of ambulance call reports from a metropolitan county.
Main Results:
- 67% of surveyed providers reported injuries from violent patients in the past year.
- Only 50% had protocols for managing violent patients; 97% relied on law enforcement assistance.
- Ambulance call reports showed a 0.8% incidence of violent episodes, with weapons present in 12%.
Conclusions:
- Widespread potential for provider injury exists, with no current mechanism for tracking.
- Protocols for managing and restraining violent patients are essential.
- Training in self-defense and scene assessment is recommended for prehospital providers.
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