air, or when having a substance abuse reaction (severe alcohol or barbiturate
b. How to apply restraints will vary with the patient and the situation. Be able to
apply standard restraining devices or field expedient restraints (mixed equipment
restraints or double litters with litter straps). Refer to Lesson 3, Apply Restraining Devices
c. Record and report any restraining action taken.
(1) Use of SF 600, Chronological Record of Medical Care, in a MTF, and DD
Form 689, Field Medical Card, in the field.
Include the following data:
Date and time restraint was applied.
Type of restraint applied.
Patient's tolerance of the procedure.
d. Hazards of restraints. Restraints could result in:
Damage to tissues under restraints.
Damage to other parts of the body.
(3) Development of pressure areas if the patient is restrained for long period
of time or if the patient does not have frequent position changes.
(4) Nerve damage if restraints are applied too tightly or if restraints become
too constrictive after application.
Injury or death during fire or other occurrences.
As a medical specialist, your ability to manage a disturbed, disoriented, or violent
patient, whether in the field or hospital, is of vital importance to you and the patient. Your
ability to work with stressful situations could be worthy of preventing injury or death to the
patient, other personnel, or yourself.