What should you do if a patient is combative and requires restraints?

Considering underlying medical conditions that may be causing a patient's combativeness is a critical first step when a patient requires restraints. Patients may display aggressive or combative behavior due to various medical issues such as hypoxia, hypoglycemia, substance intoxication, severe pain, or neurological conditions. Assessing these potential causes allows for a more informed approach to the situation, ensuring that care is not only comprehensive but also appropriate to the underlying issue contributing to the behavior.

Understanding the medical context of the patient's combativeness can guide decision-making regarding whether restraints are truly necessary or if other interventions might be appropriate. This recognition of potential medical causes fosters a patient-centered approach and emphasizes the importance of treating the root of the problem rather than merely responding to the symptoms. By adopting this perspective, the emergency medical technician can help ensure the safety and well-being of both the patient and the care team.