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Incidence. Alcohol, drugs involved in:50% of all motor vehicle collisions50% of all homicides. Roughly half of all adult trauma patients you care for will be drunk, stoned, or high!. Assessment. Alterations in:Level of consciousnessPupil responsesVital signsPain perceptionDecreased reliability of historyDecreased cooperation.
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1. Patients Under The Influence Temple College
EMS Professions
3. Assessment Alterations in:
Level of consciousness
Pupil responses
Vital signs
Pain perception
Decreased reliability of history
Decreased cooperation
4. Assessment
5. Patient Interaction
6. Patient Interaction Positive, nonjudgmental
Identify yourself
Ask permission to make physical contact
Orient, reorient as needed
Address with respect
Avoid terms like “bub” or “honey”
7. Patient Interaction Consider your body language, voice tone
Remember you’re a caregiver, not a cop
Acknowledge patient concerns, feelings
Be very clear about what you need, expect patients to do
8. Patient Interaction History-taking may require closed-ended (yes-no) rather than open-ended questions
Discretely confirm history with family, friends, bystanders
9. Uncooperative Patients Preplan management protocols with law enforcement agencies
Remember, this population is high risk for:
Hepatitis B
Hepatitis C
HIV