What is the first step when dealing with a violent patient?

The first step when dealing with a violent patient is to secure the scene. This involves ensuring that the environment is safe for both the responder and the patient. Analyzing the scene allows the EMT to identify potential hazards, assess the risk of harm, and create a plan for safely approaching the situation. By securing the scene, the EMT can also prevent further escalation of violence, ensuring that there is no immediate danger from the patient or their surroundings.

Establishing a safe environment is paramount because EMTs often work in unpredictable situations. If the scene is not secure, attempting to engage or calm the patient could lead to injury or exacerbate the situation. Once the scene is confirmed to be safe, further actions, such as calming the patient or calling for additional assistance, can be taken more effectively and safely.