A patient shouting, combative, or not making sense is not a diagnosis. It's a symptom. Your first job is figuring out where that symptom is coming from.
There are three possible sources, and you work them in order:
You work it in that order because the first two are the ones you can fix, and they're the ones that kill people who get labeled "psych" too early. A patient in insulin shock doesn't need a psychiatric hold. He needs sugar.
Quick check
A patient is shouting and not making sense. In what order should the EMT work through the possible sources of that behavior?
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