What is the best response for paramedics when a patient expresses fear that “they’re coming for me”?

The best response is to maintain at least one to two arm lengths from the patient and acknowledge his fear because this approach prioritizes the patient's emotional safety and comfort during a time of heightened anxiety. Creating physical space respects the patient’s potential feelings of threat or fear and helps to prevent any escalation of distressing emotions. By actively acknowledging their feelings, the paramedic can validate the patient’s experience, which is crucial in building trust and rapport. It shows empathy, allowing the patient to feel heard while also providing a sense of calm in an unsettling situation.

Approaching the patient while respecting their space is a more effective way to engage with someone who is experiencing acute fear or paranoia. It can help de-escalate the situation without increasing the patient's anxiety, as being too close might be perceived as a threat. Generally, providing a supportive yet non-invasive presence allows for better communication and assessment while minimizing the risk of physical confrontation or emotional distress.