Relationship of restraint use, patient injury, and assaults on EMS personnel

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Paul R CheneyDavid Sklar

Abstract

We hypothesized that the assaults on EMS personnel by patients requiring restraints can be correlated with demographic information, patient condition, and other scene information such as presence the of law enforcement. The study was a one-year cross-sectional study of paramedic restraint use and assault on EMS personnel in an urban area. A data collection form was completed by EMS for each patient placed in restraints. Study outcome variable was "Assault on EMS personnel." Predictor variables included demographic and EMS call information, patient condition, law-enforcement related variables, and the paramedic's perception of the need for chemical restraints. To compare predictor and outcome variables, a multivariable model with odds ratios and 95% confidence intervals was used. The study included 271 restrained patients over a 12-month period from April 2002 to April 2003. Seventy-seven (28%) cases were positive for assaults on EMS personnel. Multivariable analysis including 8 variables, indicated the following 6 variables were associated with assault on EMS personnel: time of day between midnight and 6 am (OR = 4.4, 95% CI = 1.6-12.7); female patient (OR for males 0.6, 95% CI = 0.3-1.0); violent patient (OR = 10.1, 95%CI = 2....Continue Reading

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Citations

Jun 28, 2008·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Micha CampbellAmy Ernst
Nov 28, 2017·American Journal of Industrial Medicine·Brian J MaguireRichard Brightwell
Dec 17, 2019·New Solutions : a Journal of Environmental and Occupational Health Policy : NS·Regan M MurrayJennifer A Taylor
Oct 19, 2019·International Journal of Environmental Research and Public Health·Pei-Yu WangChih-Hao Lin
May 2, 2021·Systematic Reviews·Azam SharifiFarahnaz Mohammadi-Shahbolaghi

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