Minh Le Cong's presentation (recorded in an aircraft hangar in Northern Queensland) on the aeromedical retrieval of the disturbed, agitated or violent patient.
13. What is the risk here?
• 40 yo man with chronic back pain in rural
hospital
• Referred for investigation ? Disc
prolapse..can’t sit due to pain
• Agitated and demanding analgesia and wish
to smoke frequently
15. Physical restraints in aeromedical
setting • RFDS QLD protocol
• Restraints – quick
release, velcro
fasteners, 4 points
• RFDS SA – body net
• Patient explanation if
possible prior to use
• Police restraints
• Careful medical
monitoring during use
• Avoid prone position
• Avoid patient struggling
against restraints
(SEDATE!!)
20. Sedation trivia questions
• What was the DORM study?
• What are the recommended acute
sedatives in Queensland mental health
units?
• What is the safest route of sedation : oral,
intranasal, intramuscular , intraosseous or
intravenous??
24. Let’s try an example
•37yo woman with acute
suicidal ideation, refusing
admission
•PMH – antisocial personality
disorder, past conviction for
stabbing police officer
25. •PMH : sleep apnoea, obesity
•OE: BMI 40, BP 120/60,
SaO2 99% on air
•Handover : cooperative
with IV access, demanding
cigarette