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patients under the influence

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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patients under the influence

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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

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