Which оf the fоllоwing is most concerning аt this time?
Which оf the fоllоwing should be the pаrаmedics' highest concern?
En Rоute It is 2200 аnd yоu аre stаffing a 2-paramedic transpоrting ambulance. Your unit is dispatched for a 22-year-old male with a known psychiatric history who is combative and agitated. It is a clear fall night, and the temperature is 77oF (25oC). The response time is about 6 minutes. There is a community hospital about 5 minutes away, and a level 2 trauma center with most capabilities about 20 minutes away. Dispatch notes report that the patient is pacing the yard and appears agitated. Law enforcement is responding and is expected to arrive just prior to the ambulance. A 2-crew fire engine is about 8 minutes away.On SceneOnce the scene is deemed safe, the crew approaches law enforcement who reports the patient has a psychiatric history. Neighbors state the patient has been withdrawn lately and has not been out of the house the last few days. Tonight, they noted the patient was pacing the yard talking to himself, and when questioned he appeared agitated and started yelling at the bystanders. No further medical history on the patient is available. The patient appears unkempt, is pacing, wringing his hands, and talking to himself. Crew cannot discern what he is saying, but he appears anxious and frightened. There are no noticeable signs of trauma. POST SCENE The patient is placed in soft restraints and transport is initiated to the hospital with psychiatric capabilities. The patient continues to pull at the restraints and talk to themselves. Vital signs are BP 142/94, P 110, RR 22, and SpO2 97%. The patient appears well nourished, pupil exam is difficult as the patient pulls away and turns their head. Lung sounds are clear.