Welcome to the Recess Room podcast.

Five, four, three, two, one, fire.

So hi, and welcome back to the Recess Room podcast.

I'm Simon Lang.

I'm Rob Fenwick.

And I'm Jane Jades.

And we're back with another roadside to recess recess and this time we're talking about ABD or acute behavioural disturbance.

Yes we are. This is going to be an epic episode. Thinking back to some of the cases that I've nursed and managed over the years, these are often some of the most challenging cases you will come across.

And that's in terms of loads of different elements like diagnosis, patient assessment, patient safety, staff safety, logistical issues, environmental issues.

And that's before we've even touched on what we might do to intervene.

So it's an area that is evidence like, which we will be talking about,

but yes, this is definitely an episode to be sticking around for.

And indeed, acute behavioural disturbance may well be something that you witnessed

happened to me on this episode whilst the builders are currently clearing their materials

off the driveway at my house.

And before we get into the episode, a big thanks to S.J. Trem, the Scandinavian Journal of Trauma,

Resuscitation and Emergency Medicine, who partner with us on the podcast and make this all free open access and available to you.

They cover all the sorts of topics that we cover here on the podcast in their journal, so make sure you go and check them out after you've listened to the episode. So without further ado, let's get on with some ABD.

Great. And to be a little bit different this month, I want to start things off with a scenario.

So let me set the scene. You're working as part of a two-person ambulance crew.

It's late on a Friday night in December and you've been on shift for about six hours and you're

yet to get your meal break. So pretty standard. It's about four degrees outside. It's just

...