Cooling the Flames: De-escalation of Mentally Ill & Aggressive Patients: A Comprehensive Guidebook for Firefighters and EMS

by Ellis Amdur, John K. Murphy

People suffering from psychiatric or substance abuse disorder can display any one of a number of frightening behaviors. Ellis Amdur and John K. Murphy offer firefighters and EMTs a comprehensive set of strategies to keep themselves and their patients safe, while functioning at the highest level of professionalism. Rather than abstract information, more useful in a consulting room than in the field, Cooling the Flames is tactically based, from start to finish. The first section of this book addresses field safety, including both strategic planning and honing your intuition to pick up early signs of danger. In the second section, the authors offer specific strategies to maintain integrity and calm in crisis situations, including a method of breathing for the purpose of maintaining one's own center in crisis situations. They then discuss interventions with those displaying confusion and obsessive concerns, psychosis, mania and acute disorganization. In one very important section, they discuss interactions with manipulative people, who present a danger to the psychological and physical well being of anyone with whom they come in contact. The authors discuss suicidal patients, not only from the perspective of despondent individuals who attempt to kill themselves, but also offer strategic interventions for those who either threaten to harm themselves, or repetitively do so, requiring regular involvement of EMS, police, hospitals and the mental health system. The authors explain how to immediately recognize different modes of aggression, and then outline how to quickly and effectively implement de-escalation or control tactics best suited to deal with the type of aggression one is facing. In three essential appendices, they present protocols for physical and chemical restraint, current information on positional and compression asphyxiation (authored by Dr. Gary Vilke), and a protocol, specific to fire and EMS, on excited delirium (authored by Lt. Michael Paulus, ret.)

288 pages, Hardcover

First published January 1, 2011

About the author

Ellis Amdur balances two careers, that as a crisis intervention specialist, through his company, Edgework and as a 50+ year practitioner of traditional Japanese martial arts. His writing meets right in the middle.
Among his non-fiction works are thirteen profession-specific books on verbal de-escalation of aggression, two books for hostage negotiators, two on the art of tactical communication with hostile individuals, one on the art of psychotherapy, and has edited a book by Evelyn & Shelley Amdur on the former's career as a hospice social worker.

He has written and published three books on martial arts, the iconoclastic Dueling with Osensei: Old School, a work on classical martial traditions and Hidden in Plain Sight, on esoteric knowledge within various martial traditions.

In fiction, he is a co-author of the graphic novel, Cimmaronin, and the author of two novels, The Girl with the Face of the Moon, and Lost Boy. His third novel, Little Bird & the Tiger, set in Meiji Japan, is due for release in 2023.

His books are considered unique in that he uses his own experiences, often hair-raising or outrageous, as illustrations of the principles about which he writes, but it is also backed by solid research, and boots-on-the-ground experience.

Reviews

[Christopher]

Informative!

I learned a lot about the call takers and how the role they play in keeping callers and responders safe. I appreciated the practical guidance on how to help individuals in various states of emotional distress and mental health crises.