Embedded Files
Page 15
Nationally, of all officers who are assaulted in the line of duty, one third occur at domestic violence scenes, and domestic violence calls account for an increase in the number of law enforcement deaths, from 3.1% of all deaths in 1986 to a total of 7.1% of police officer deaths occurring in domestic violence calls in 1995. While EMS may have been called to provide medical care, it is important to recognize the change in dynamics and that the delivery of medical care may be viewed as a threat. The presence of a rescuer -- whether law enforcement making an arrest or EMS providing medical care -- changes the dynamics between the perpetrator and victim. It also must be remembered that women are in the most danger when they try to leave their abuser. Studies show that 75 percent of battered women are beaten after they leave (e.g. at the time of the beating incident, they were either divorced or separated).
Part of the problem in responding to a domestic violence scene is that in all probability, the violence has been occurring for some time. The violence may have escalated over the years, to the point where the victim may be unaware of how lethal it has become. Victims and perpetrators consistently minimize the level of violence experienced. Also, many victims are embarrassed, shocked, or feel responsible and want to minimize the violence out of guilt and shame. The victim may be fearful: a past arrest may not have been effective and violence was inadvertently encouraged.
In addition to the dynamics of the scene, it may be necessary to diffuse aggressive behavior before you can even approach the victim to deliver medical care. Avoid touching or crowding an already hostile person since it may provoke more violent behavior. Be non-threatening. Stay calm. Don’t get too close. Take a balanced stance. Take your time and take nothing for granted. Assume control of the situation SLOWLY. Introduce yourself, speaking directly to the patient. Explain what you’re doing. Ask open-ended questions, allowing them to talk. Restore control to the victim. Do not be judgmental. If you can, separate yourself and the victim from the perpetrator -- an explanation may be that you need to use equipment that is in your ambulance.
Google Sites
Report abuse