How should a paramedic handle a combative patient?

When managing a combative patient, the priority is ensuring the safety of both the patient and the healthcare team. Considering physical restraint may be necessary, especially if the patient's actions pose a risk of harm to themselves or others. This approach acknowledges that a combative patient may not be in control of their behavior due to various factors such as medical conditions, intoxication, or psychological issues.

Taking measures to ensure safety can involve assessing the situation, using verbal de-escalation techniques, and, if needed, applying physical restraints in a manner that is safe and respectful. It's imperative to handle the situation professionally to avoid escalating the conflict while also providing necessary medical assistance.

In contrast, simply attempting to negotiate without restraint may lead to an unsafe situation if the patient remains agitated. Immediate transport without addressing the combative behavior could also endanger the patient and the healthcare team during transit. Ignoring the patient’s behavior is not appropriate either, as it can exacerbate the situation and lead to further complications.

Therefore, the most responsible approach when dealing with a combative patient is to ensure safety, which may include considering physical restraint if it becomes necessary to protect everyone involved.