In recent years, there has been an ever-increasing frequency of violent attacks against members of emergency medical services (EMS). Although members respond to dispatched calls or attend the emergency department, they face many unknown threats and dangers.

EMS members must take a holistic approach to their safety and embrace true de-escalation, situational awareness and threat mitigation. Mitigati… Moreng violence starts with an assessment of all intelligence associated with an interaction.1 Although operational dispatch and tasking do an excellent job of attaining details, the on-scene environmental assessment needs to be enhanced. Individual members need to develop the ability to conduct a personal threat assessment beyond the scope of their traditional medical training.

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