if you work in the ed, like me, you most likely have been attacked or assaulted some time in your career. i have been assaulted a few times, threatened many times, too many times to count. the worse assault was a 14 year old female who was combative, on drugs and pregnant. we were attempting to restrain her and somehow, her leg got loose and she kicked me hard in the ribs. i sustained nothing more than rib contusions, but i was in pain for weeks. i have had clipboards thrown at me in triage, was slapped in the face by a psych patient, and have had combative, drugged out psych patients attempt to bite, kick, and punch me. through the years, i have learned to always be aware of my surroundings, always have a way out of the room, never take chances and restrain the patient at the first sign of combativeness, and to move really fast ande duck when i see an extremity or clipboard coming at me!