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If the de-escalation techniques have failed and the patient is determined to be a danger to him or herself or others, proceed to physical restraint guidelines and procedures. Use the minimum amount of justified force necessary to accomplish the restraint procedure. You want to ensure you have the adequate number of resources available to perform the restraint procedure. Some states and services recommend the number of providers (police and EMS) needed to properly restrain a patient is four, however the optimal recommended number of providers would be a minimum of five. This would have one provider per extremity plus a “lookout” to ensure scene safety. |
