Quote from night fox
I'm interested in knowing what types of violent situations you may have been exposed to in the ER. Does a lot of it come from drunks?
Usually not, though just last week we had someone mix copious amounts of etoh with her xanax, and for some reason, her rxn tended to be quite violent. The EMS who brought her in radioed ahead and requested the the police be called to meet them there, as this 5ft 2 chick was so pi$$ed off she had already broken through all the restraints they had, and she was biting everyone in site, gave two of them black eyes, and 5 grown men still could not hold her down. After seeing some of the cases our EMS brings in and the abuse they put up with, I have to say that I have a great deal of respect for the EMS in our area. The region we live in has an all volunteer EMS (not only in our city, but in all of the outlying small towns who transport to us) and not a single one of them are paid anything for their services. To put up with the folks who use them as a taxi service, as well as the violent ones and to still be ready to answer every one of the 6000+ calls they get every year, I think they are total angels!
But back to the original topic, a lot of the more violent pts we get in our ED are psych patients who are off their meds. Not to mention family members - hate to say it, but living in the rural area with lots and lots of rednecks and trailer parks nearby, we end up with a lot of domestic violence, and just because someone is the next of kin does not mean that they should go back to the pt's room after they have been stabilized after their stabbing - no matter how innocent said next of kin looks, they are often on their way to finish the job they started
Fortunately in the 2 years I've been there, the police occifers have always made it to the ER in time to diffuse any real dangerous situation - good thing too, because as much as I love our security guys, they aren't even allowed to cary mace!! no billy club, no taser, no nothing!!!!
I'm afraid it will take something really bad to happen to one of us here in the trenches before such an action would be taken by our lovely administration.