In restraining a patient, how many responders are described as needed, and what does one responder control?

• A. Four responders; one person controls the torso
• B. Three responders; one person controls the head
• C. Six responders; one person controls the legs
• D. Five responders; one person controls each limb and the head

Answer: (D)

The situation tests safe restraint technique: to control a combative patient without causing injury, you need enough trained responders to distribute control. The recommended setup uses five responders: one person keeps control of the head to protect the airway and prevent head/neck injury, while the other four each hold a limb (two arms and two legs) to prevent kicking, pulling away, or striking. This distribution minimizes the risk of injury to both the patient and staff and allows the team to apply restraints securely and monitor the patient. Fewer responders would overburden someone and increase the chance of improper control or airway compromise.