"She was hallucinating terribly… she literally thought there were a bunch of bad guys out to get her in her front yard, and she refused to leave her house. She would not get in our ambulance. She kept peering out the window and telling us about the guys with guns.
"At the end of the day, our job is to get her the help she needed at the hospital, and she refused to listen to our pleas that there were no bad guys outside. So I role-played -- I told her she would be safe with us, because we were tactically trained in urban assault EMS techniques. Oddly enough, that calmed her down.
"My partner ran out on the porch, looked left, looked right, and ran as fast as he could to open the back of the ambulance door. I stayed with the patient and told her we would protect her at all costs. My partner yelled from the back of the ambulance, 'Sector 5 is clear! Move, move, move!' I told my patient it was now or never: 'Let's roll! Go, go, go!' We both did a duck-and-cover as we took a flying leap into the back of the ambulance. I barked orders to my partner, 'Get up front, let's roll! Make sure we're not followed!' He promptly complied and took the 'safe route' to the emergency room. I kept looking out the back windows and reassured my patient that we were not being followed. Our role-play seems silly, but guess what? My patient felt 100% safe in the back of the ambulance with me, she trusted me, and we got her the help she needed at the hospital." -- Trent S, paramedic, EMS1.com contributor