Your Patient Is a 50-Year-Old Male Who Has Been Detained

Your patient is a 50-year-old male who has been detained by mall security officers. The patient is distraught, stating that he needs to "get away from the terrorists." The security officers state the patient was found climbing into a trash dumpster behind the mall and became distressed when they took him away from it. Your physical exam is unremarkable except for noting neglect of hygiene and nutrition. His skin is warm and dry. HR = 98, BP = 114/78, RR = 12, SaO₂ = 99%, blood glucose = 80 mg/dL. You offer him transport to the ED, which he accepts. Which of the following is most appropriate during transport of this patient?

A) Apply a cardiac monitor, IV, oxygen
B) Restrain the patient with four-point restraints, no ALS interventions
C) Start an IV, and request orders for haloperidol
D) Make the patient comfortable on the stretcher, no ALS interventions