When encountering a patient exhibiting bizarre or irrational behavior, the paramedic should:
a. Always assume the incident to be a psychotic episode and involve police assistance with restraining the patient
b. Assume that the patient behavior is a regular occurrence and only provide transport at the request of the family
c. Always consider metabolic and treatable causes
d. Utilize chemical and physical means of restraint prior to initiating any other treatment modalities
c
Rationale: a. There are many causes of bizarre and irrational behavior that are not related to psychosis.
b. Assumptions should not be made related to the reason of unusual behavior and the paramedic should consider treatable, underlying causes.
c. Correct.
d. Restraint should be used as a last resort and only when necessary to prevent harm to rescuers, bystanders, or the patient.
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