Use Of Restraints

a. Use restraints when a patient is violent, refuses to go to a medical or psychiatric facility for evacuation, is hallucinative or delusional when being evacuated by air, or when having a substance abuse reaction (severe alcohol or barbiturate withdrawal).

b. How to apply restraints will vary with the patient and the situation. Be able to apply standard restraining devices or field expedient restraints (mixed equipment restraints or double litters with litter straps). Refer to Lesson 3, Apply Restraining Devices to Patients.

c. Record and report any restraining action taken.

(1) Use of SF 600, Chronological Record of Medical Care, in a MTF, and DD Form 689, Field Medical Card, in the field.

(2) Include the following data:

(a) Date and time restraint was applied.

(b) Type of restraint applied.

(c) Patient's tolerance of the procedure.

d. Hazards of restraints. Restraints could result in:

(1) Damage to tissues under restraints.

(2) Damage to other parts of the body.

(3) Development of pressure areas if the patient is restrained for long period of time or if the patient does not have frequent position changes.

(4) Nerve damage if restraints are applied too tightly or if restraints become too constrictive after application.

(5) Injury or death during fire or other occurrences. 5-9. CLOSING

As a medical specialist, your ability to manage a disturbed, disoriented, or violent patient, whether in the field or hospital, is of vital importance to you and the patient. Your ability to work with stressful situations could be worthy of preventing injury or death to the patient, other personnel, or yourself.

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