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If you are currently working as a security officer, door supervisory or bouncer you should be trained to handle every kind of difficult situation that may arise whilst on duty. As a security personnel it is inevitable that you will at some point need to use force to resolve a situation which can get dangerous. For security personnel physical intervention should only ever be used as a last resort. This is because physical intervention can- Increase the risk of harm to staff and customers Result in prosecution if the physical intervention was unnecessary Lead to allegations against staff and potential loss of licence/employment Examples of last resort situations include Where necessary to prevent harm When other options have failed, or are likely to fail When it is not possible or appropriate to withdraw Alternative to physical intervention Primary controls Following employer’s safety and security policy, procedures and working practices Use of safety and security equipment and technology Secondary Controls Positive and effective interpersonal communication and the knowledge and skills of conflict management to de-escalate conflict situations and reduce the need of physical intervention Your responsibility during the physical intervention All staff involved in physical intervention have a responsibility to ensure the safety of everyone involved When more than one member of staff is involved in the physical intervention one of them must take charge of the situation Use the least forceful option Maintain duty of care subject to the subject following restraint You should respect the dignity of people being restraint wherever possible Provide appropriate medical attention to any person who appears to be injured or at risk Challenge unnecessary and excessive use of force by colleagues Your responsibility immediately after a physical intervention De-escalate a restraint at the earliest opportunity Maintain duty of care to the subject following use of force/restraint Provide appropriate medical attention who appears to be injured or at risk Tell the emergency services about the circumstances, position, duration of any difficulties experienced in a restraint event Preserve evidence and secure witnesses Staff involved must fully report and account individually for their actions Reducing the risk of physical intervention Choose the least forceful intervention practicable: The physical intervention with the least force and potential to cause injury to the subject in achieving the legitimate objective Avoid high-risk positions including ground restrains Avoid high-risk methods of restraining, such as neck holds and other holds that can adversely affect breathing or circulation Keep up communication between staff and subject during the following restraint Monitor the wellbeing of the subject of intervention for adverse reactions Ensure that leadership and teamwork happen, including the importance of someone taking a lead role and for others to support a team member Ensure practice follows the procedures taught De-escalate physical intervention at the earliest opportunity Follow emergency procedures: Immediately release and assist subject if he or she complains of, or demonstrates signs of, breathlessness or other adverse reactions Record and report restraints in line with employer and venue procedures Positional (or restraint) asphyxia – what is it? Positional asphyxia occurs mostly during ground restraints, although can also occur in other positions. This is where a person is held forcefully, face down or face up, on the floor. Many people have died as a result of positional asphyxia during forceful restraint. Others have suffered permanent brain damage linked to oxygen deprivation. You should avoid restraints that carry a heightened risk of positional asphyxia. Positional asphyxia kills – be aware of the sign What can cause positional asphyxia? Method of restraint: Positional asphyxia typically occurs during forceful restraint involving weight or pressure on the torso. All forceful restraints on the ground carry heightened risk. Position: Forceful holds in certain positions increase risks of positional asphyxia. These positions include face up or face down restraint, either on the ground or another surface such as a bed or bar/counter. Also seated or standing positions where breathing and/or circulation are compromised e.g. by being bent forward. Duration: The longer a person is held in a position and/or by a method carrying a heightened risk of positional asphyxia, the longer their exposure to risk and subsequently potential for harm and death. What to do in a medical emergency Follow your emergency procedures and training which can include: Immediately cease the restraint (if restraint was being applied) • Check Airway – Breathing – Circulation (A-B-C) Place in the recovery position Call appropriate emergency services Commence CPR/defibrillator if necessary Provide emergency services with a briefing that includes anything known about the person affected that may help their assessment and treatment. Include details of any restraint including the method, position and duration Recognising Acute Behavioural Disturbance/ Excited Delirium/Psychosis This is a term used to cover a combination of physical and psychological factors including: High temperature Bizarre behaviour Sustained mental and physical exhaustion and metabolic acidosis Psychosis, which can result from mental illness and/or be drug induced. Signs include hallucinations, paranoia and extreme fear This combination of circumstances can result in sudden death, and signs should be treated as a medical emergency. Act on ‘red flags’ during or following a restraint Effort with breathing Blocked airway and/or vomiting Passivity or reduced consciousness Passivity or reduced consciousness Signs of head or spinal injury Facial swelling Evidence of alcohol or drug overdose Blueness around lips, face or nails Individual held complaining of difficulty breathing High body temperature, profuse sweating/hot skin Exhaustion Confusion, disorientation and incoherence Hallucinations, delusions, mania, paranoia Bizarre behaviour Extreme fear High resistance and abnormal strength Don’t forget to refresh your training! It is crucial that you keep your physical intervention knowledge and skills current, for two principal reasons: Legislation and guidance around physical intervention can change Your proficiency in physical skills, if not practised, will decrease over time. This could reduce your ability to intervene appropriately and effectively, and increase the risks to you and others www.sia.homeoffice.gov.uk (Reference) https://www.sia.homeoffice.gov.uk/Documents/sia-safer-physical-intervention-for-door-supervisors.pdf