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This is not a scenario that you will be able to just walk into without training. To be efficient, it requires prior planning and training. Remember our audience, the public, and our common enemy, time. The public expects to see professionalism. Delay to transport(time) increases duress of the patient and reflects poorly on our preparedness for this event. Public perception does not know or care how infrequent this type of call is. They only see what is happening in front of them. In case you haven't noticed, public perception and liability is what drives policy and procedures, do not allow a critical event dictate how your agency decides the management of combative patients.

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