LLLEARNER

My brain is defective. As a result, I have numb legs and feet. Shortly before I started training I had a very hard time with balance during the various movements due to the reduced sensations in my legs. I cannot feel vibrations with most of my feet. How do I deal with it? I ignore it and train. Kata helped me adapt. I follow my doctor's advise. Mostly. I take my vitamins and other medication. As far as outside of training the decreased sensation in my feet makes me have to pay a little attention when I am walking because I start to weave like I have been drinking.

Are we having cake!?

Our hospital has the only dedicated Mental Rehabilitation unit in the area and we service a large population with those needs. I have seen nearly half of our ED with mental health and substance abuse patients. It makes for interesting work. And enlightening if I choose to think on it.

This makes a lot of sense. This is better than talk of kicking patients in the head. I mentioned kicking simply because the OP mentioned Muay Tai. While I should not have said to the head, certainly wrist techniques and potentially knee strikes and foot stomps are more applicable in the that proximity. It also depends in the manner of the attack. Most of what we do is restraint oriented techniques, but I have stepped into block a punch or charge aimed at another staff member. Our goal is to not have had used any physical techniques each shift. We start with verbal, and the vast majority of the time it ends there. Occasionally we then move to physically restraining people and we always want to cause the least harm possible, but recognize that some harm may be unavoidable. Rarely, we have out if the norm violence. A patient pulled a knife on a triage nurse on one occasion. On another a Security Officer was lifted by his neck against a wall and choked. In that particular case the OP would have been legally justified in using his Muay Tai skills, and his employer might have dismissed him for policy violations depending on the administrations attitudes. We also have units behind multiple locked doors which inhibit QUALIFIED and WILLING back-up. More than once officers have been dealing with an out of control person alone while other (non-security) staff stand there and watch. If it is a little old lady with dementia, your justified force is going to be way less than if it is a young, strong, determined man. Me I just move to the side before the little old lady can reach me. But, we have nurses that have not learned tai sabaki. Keep in mind, it is not always patients that present threats in hospitals. Legally speaking, lethal force is lethal force. Generally, if you are justified in using a gun, you are justified using a knife, or bare hands. A tool is a tool is a tool.

Just an update... I found breaking bats on Chokesports.com. The description states they break with about 1/3 the effort as a real bat. The bad news is...... 49.95 a piece. I think that is expensive for something that is firewood after 1 use.

Another point. Hospitals are like any other workplace. There are employees that seem to spend an inordinate amount of their shift looking for policy violations of other employees. You will get the nurse, or housekeeper that will report you for any perceived policy violation. If you kick the guy in the head while he is choking you, he will report the action. For instance, we have a few that will report a use of force "violation", simply because they do not understand the difference between life and death, and basic dementia behavior. This is one reason the written report is so vital. We have learned to be cognizant of who is around.

Measurement of crime can also differ. If I remember right, a murder only counts as a murder upon adjudication, rather than in the US where it is based on the determination of the investigation. There are also a couple of other ways to manipulate the stats depending on goals of the study.

It is interesting to note that London just passed New York's murder rate. And that is amid the big push to "Save a Life, Turn in a Knife".

I agree with what has been said. In an urban environment, canes travel everywhere with no concern. If you can do techniques with a cane, you can also use an umbrella. Urban environments are about being the gray man, blending in. In the town I live in, I can put a shotgun and rifle in my trucks gunrack and not raise an eyebrow. Not so in Chicago or New York. If I did that in London, I might get the Queen surrendering to me. Even if some find a cane to be too weapony, just put on skinny jeans and grow a man bun and be a hipster ironically. Then the cane becomes trendy. Also, some canes integrate flasks, or have swords.

That is a given.

Sorry. I had a lot to say.

This was good, but last year's was better.

I seem to remember the sequels not being as good.

I enjoy it. The martial arts a highly acrobatic and definitely made for the camera. To my inexperienced eyes, it looks like stylized superpowered kung fu of some form.

There are even some apps that incorporate lots of techniques to help keep you consistent.

lol! I like the way you think. However, both of those items are illegal on hospital grounds, so I think joint locks and holds would be a better option. Probably not "illegal", but against policy. Two very different animals. There are times I have more than one firearm on hospital property. I always have at least one. I am not violating the LAW, so it is not illegal. I don't take them in the building. I also highly suspect a few of the docs are armed as well, although I do not seek proof. Darts would be to inconsistent to use. Besides, they have Haldol, Ativan, Benedryl, Geodone, ketamine and all the syringes they could want.

They only teach de-escalation tactics to healthcare personnel against assailants. Any training beyond that goes into the realm of security. That is blindingly stupid on the part of your hospital administration. There will not be a Security Officer with you all the time. Build habits now that prevent you from getting cornered in a room. We teach all aspects (physical and verbal) to Security and providers as well. The only difference is Security also gets handcuffing and OC usage, but they are different programs.

Ok... So there are a few things to consider here. 1. You may be faced with some difficult choices in the use of force continuum as part of your professional life. That does not mean that you should stop training. It means you will have to be careful about when the use of force is appropriate and when it is not. 2. There is nothing in the Hippocratic oath that forbids striking techniques that would not also preclude most any effective fighting system. 3. That said, pursuant to wanting to do the least harm possible in resolving a possible violent confrontation, in my opinion Judo and BJJ give you the most tools for addressing that particular problem. You may be right on number 2. However, on a legal standpoint, there's always a ramification on force unless absolutely necessary. Even still, "no force unless absolutely necessary" is a very subjective term in this day and age. According to a security guard at the site, the only way violence is "justified" is if the assailant is preventing you from escape. Any other time goes under a restricted display of force if that makes sense. You cannot legally prevent a patient from leaving the hospital except under a few narrowly defined circumstances. You cannot legally force a person into a hospital except under a few narrowly defined circumstances. As a provider, you should have been taught this. I, as a non-providor, have had to educate more than a few doctors and nurses on these legal aspects. Your ED nurses of any seniority tend to apply this better than those in any other units. It is because they see it far more frequently. They also tend to have a better mindset and attitude for dealing with it than floor nurses. Also, we prefer the term Security Officer over security guard. Use it. It will help keep you friendly with the guys who are backing you up on those out of control patients. Our administration lets us operate with a greater scope of practice than many other hospitals. We often have to physically control and restrain violent patients. We carry OC foam and handcuffs as well. I have been known to kick medical staff out of the patients room until they could be brought under control.

I am a hospital Security Officer. I also teach other employees use of force. I have felt a patient's joints crack as I applied a technique. I have put patients to the floor or bed and restrained them many times. I have been threatened, had my family threatened graphically, been spit and bled on. I have also been involved with the risk assessment board. (Pro-tip... they are not an employees friend regardless of what they say.) My risk assessment board did not like me, because I am better than them. A short list of the violence in hospitals... Biting, Kicking, Punching, Shooting, Stabbings (needles and knives), Rapes, Criminal threatening, Assault with deadly weapons (IV poles), Scratching, Hair pulling, Domestic Assaults, Stalking, etc. First, there are some legal and policy issues. Laws are government enacted. Policy is hospital enacted. Laws supersede policy. However, you can be fired for violation of either, and your professional license can be suspended/revoked. Hospitals have use of force policies. If you do not know where to find them, ask for them. Know them. Also, understand the hospital's restraint policies for non-contact, hands-on, chemical and mechanical restraints. Raising a bed really high, or tucking sheets too tightly classifies as a restraint. Doctor's orders are necessary for restraints of patients. Non-patients do not need doctor's orders. Hospitals also want to cover their rear. Their policies are all designed to shift the blame to the employee should the employee violate them. This is the main purpose of the Risk Assessment Committee. They exist to minimize FINANCIAL risk to their employer, the HOSPITAL, not you as an individual. If you are required as an employee to participate in restraints, the hospital will provide the training to minimize their risk. (It is cheaper than lawsuits.) There are several programs designed for hospital, schools and corporations for the purpose of risk mitigation. Management of Aggressive Behavior (MOAB) https://www.moabtraining.com/ MANDT http://www.mandtsystem.com/ (This is used a lot in schools for the mentally handicapped.) SATORI ART and many more. They have varying degrees of non-contact resolution and contact resolution. Non-contact is understanding verbal and non-verbal cues, and their counters that work for most people in most situations most of the time. Nothing is perfect. Any use of force/restraint will require written documentation. Make your reports flawless. This is the only contact administration will ever have with a use of force situation. They will be several floors away, in meetings, and never have had the required training when it happens. You will be describing an elephant to a blind man who grew up in a basement with no contact with the outside world, ever. When someone reads the report, they should have absolutely no need for clarification or question as you have described it so well. Describe smells, sounds, actions, feelings and use quotes. If they threatened all kinds of grievous harm to you and your family, QUOTE IT WORD FOR WORD. It is the only thing that can put into context the need for your actions 4 months later across a conference table as they powers that be look for any way to shift liability away from them. Some of the physical portions of the training will seem familiar as many are derived from martial arts techniques, only watered down for civilian sensibilities. Do not break out proper names for martial arts names for terms. Keep your training manual and use the names from the book. They will not know a Do Jime or Jodan Uke from the hole in their rear. The violence that occurs in hospitals rarely ever seems to make an impact on those responsible for the hospitals. All that being said... There are times that the violence presented will exceed the expectations of the training provided. In those situations, I recommend you understand the LAW, and your own willingness to act within its scope. We have some wonderfully caring people on our staff. Many would not think of intentionally hurting someone. Because they would not consider it, they rarely understand that others hold no such ideology. But, a requirement of there job is to take the training. I tell my students that they always have a choice in any situation. They can choose to react in a manner appropriate with their training and ability, or they can choose to let that 280 lb man smash their head repeatedly on the floor. With the levels of violence increasing in hospitals now, there may come a time which your Muay Tai is justified and legal. In my professional opinion, Muay Tai striking, or any striking for that matter, as a tool does not violate the Hippocratic oath. That does not mean you should kick the 3000-year-old dementia patient in the head when she refuses meds or feels threatened by someone feeding her. However, a young strong determined mental patient with an iv pole as a weapon could require the kick to the head. The use of force should always fall within your scope of practice, hospital policies, jurisdictional laws and most importantly your personal moral code. Our hospital uses MOAB. We teach striking when the situation demands it. Period. A determined attacker choking you out might darn well justify any strikes you are able to land. IT DOES NOT VIOLATE THE HIPPOCRATIC OATH. Pro-tip...Doctors and nurses do not like when a lowly Security Officer takes the control out of their hands and orders them around. But it is kinda fun. Pro-tip...It also does not violate HIPPA when reporting a crime and any relevant element of a patient's health or treatment to the police. Pro-tip...Not one person or group of people in any hosptial, no matter their position on the org chart, has the authority to keep you from reporting crimes to the police. Even if the Board of Directors tries to tell you not to report an assault, tell them point blank it is not within their legal power to give that order.

If you were in his position, would you rather a long-time student left without word, or talked to you?

I think of it as not being boastful. We can come together to discuss topics that help us improve our lives in some way, without being in each others face about how great we are in a boastful manner. And like Tempest said, I remember the first rule of Fight Club.

That project was last semester. I did not find any. I even watched it instead of doing my project right away.

I can only remember 2 movies that nearly brought tears to my eyes. "Where the Red Fern Grows" and, "Best of the Best". I got reacquainted with "Best of the Best" through my operations class last semester with an exercise in finding shipping prices called "Best of the Best". I scoured that movie for quotes to use in my presentation. But alas, nothing. I have watched if 5 or six times since then.

Season 2 is on Netflix now.

I pictured you with more hair.