- Put the patient on a stretcher, long board or scoop stretcher
- Secure the patient so that major sets of muscle groups can not be used together
- Restrain the lower extremities to the stretcher first around the ankles and across the thighs with soft restraints and stretcher straps
- Restrain the patient’s torso and upper extremities with one arm up and one arm down with soft restraints and stretcher straps whenever possible
- Use cervical-spine immobilization precautions to control violent head and body movements to the best of your ability
- Place padding under patient’s head to prevent them from further harming themselves
- If patient is restrained utilizing a backboard or scoop stretcher, secure it to the ambulance stretcher
- Perform and document circulatory and vital assessment every 5 minutes, with respiratory assessment more frequently, as needed
- Monitor patient’s airway and treat as necessary
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