What should the crew do if the patient is agitated and wants to leave the ambulance?

When handling a situation where a patient is agitated and expresses a desire to leave the ambulance, the best course of action is to stop the ambulance as soon as it's safe and comply with their wishes. This approach prioritizes patient safety and mental well-being. If a patient is exhibiting agitation or distress, it is essential to assess their condition and understand the reasons behind their behavior.

By stopping the ambulance safely and allowing the patient to exit, the crew demonstrates respect for the patient's autonomy while providing an opportunity to de-escalate the situation. This can lead to better communication, allowing the crew to address the patient's concerns and potentially offer reassurance or alternative solutions.

Moreover, engaging with the patient can help establish rapport and reduce agitation, creating an environment where the patient may feel more secure and listened to. Restraining a patient can lead to further distress and is generally reserved for situations where there is a risk of harm to themselves or others, which isn't indicated here. Compliance without addressing the patient's agitation may also not be in their best interests, and contacting a primary care physician may delay addressing immediate safety concerns.