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Behavioral EMT

NREMT Preparation

TermDefinition
Behavioral emergency abnormal behavior that is unacceptable to patients, family members, or society.
Causes of behavioral emergencies can be physiological or psychological.
Physiological causes include diabetic emergency; hypoxia; head injury; drugs, alcohol, or toxins; environmental emergencies; and seizures
Psychological causes include anxiety unusual level of stress about an event or problem
bipolar disorder also known as manic depression; characterized by drastic mood swings
depression deep sadness not associated with a specific event
paranoia extreme suspicion or distrust about others v. phobias: unusual level of fear about specific things vi. psychosis: delusional state
schizophrenia a state characterized by disorganized speech and thinking
Suicide Facts Females are more likely to attempt suicide, but males are more likely to die as a result of suicide. Suicide attempts usually involve firearms, drugs, or alcohol. Most suicidal patients will give clear signals of their intent.
All suicidal gestures should be taken seriously, especially when patients have a clear plan and the means to carry it out.
Risk Factors for Suicide History of mental illness, previous suicide attempts, or child abuse Recent diagnosis of serious illness Recent loss of job, family member, or partner Divorced or widowed
High-Risk Situations Suicidal patients Patients with agitated delirium Agitated delirium is characterized by violent, unpredictable behavior, and unusual strength and pain tolerance.
High-Risk Situations It is often associated with use of methamphetamine or other central nervous system (CNS) stimulants. Agitated delirium patients are at high risk of sudden cardiac arrest.
Warning Signs of Potential Violent Behavior Threats or threatening behavior, throwing or striking other objects Pacing or clenched fists Swearing or shouting
PATIENT RESTRAINT Thoroughly document the following for any call requiring patient restraint: The patient's presentation, demeanor, etc. The reason for restraint and method of restraint The time and duration of restraint
PATIENT RESTRAINT Continuous monitoring of the patient's level of consciousness (LOC), airway, breathing, and circulator status The patient's pulses, skin color, and temperature in the extremities distal to the restraint devices The role of law enforcement and medical direction The patient's status upon transfer of care
ASSESSMENT AND MANAGEMENT Implement the following techniques when managing behavioral patients: Give patient adequate space, and be prepared for rapid changes in behavior. Don't block the patient's means of exit or display a judgmental attitude.
ASSESSMENT AND MANAGEMENT Listen actively and don't interrupt. Don't leave the patient alone. Don't leave your partner alone with the patient. Don't give ultimatums.
Created by: ditchdoctech