EMS Combative—Suicidal Intent

Learning Objectives

1. Assesses scene, identifying any potential safety concerns, number of patients, presence of bystanders, and additional resources available
2. Conducts primary survey and obtains vital signs with attention to the following:
a. Determines level of consciousness and identifies mental status impairment.
b. Identifies any signs of airway obstruction, hypoxia, or any observable breathing difficulties.
c. Identifies any profuse bleeding, signs of decreased or absent circulation, or any pulse deficits in extremities.
3. Performs immediate interventions to address concerns identified during the primary survey.
4. Determines priority of transport.
5. Conducts a secondary survey to gather additional pertinent HPI and PMH and conduct a focused physical exam.
6. Performs any necessary medical interventions to ensure patient stability and safety during transport.
7. Contacts Medical Direction when indicated.
8. Provides verbal report summarizing patient encounter.
9. Evaluates a patient in a psychiatric crisis.
10. Uses verbal de-escalation techniques to convince patient to obtain medical evaluation.