In many parts of the US, patients presenting with a behavioral emergency are often first worked up in a general hospital emergency department. If inpatient admission is indicated, typically these patients need to be transferred to a specialty center for definitive care. After the "doc-to-doc" and the "nurse-to-nurse" is done, who is communicating with the transport team? Should the patient be restrained for transport? Should the ambulance be staffed with a paramedic who can manage agitation with medication? Would you be surprised to learn that regularly patients living with mental illness die by jumping from moving ambulances? This session is designed to address these and other common issues that may arise between emergency departments and EMS providers who often transport these patients to definitive care. A case will be presented.
Learning Objectives:- Appreciate clinical capabilities of different EMS providers when transferring psychiatric patients.
- Be able to stratify risk of elopement of a patient with a behavioral emergency during ambulance transfer.
- Be able to stratify risk of self-harm/harm to others during ambulance transfer. 4. Know how to effectively communicate with transport team.