The first step in managing a patient showing severe agitation is to:

In a situation where a patient is exhibiting severe agitation, the foremost priority is to ensure safety for oneself and any bystanders. By assessing the environment and determining safe distances, you can avoid escalating the situation further. This approach allows for a clearer assessment of the patient's needs without compromising the safety of those present.

Once safety is secured, a responder can then consider appropriate interventions. Effective communication and de-escalation techniques can often be employed after ensuring that everyone is safe. Addressing the patient's agitation without securing a safe environment first could lead to unpredictable behaviors and potential harm to both the patient and responders.

While other actions, such as calling for additional medical support or physical restraints, may ultimately be necessary depending on the situation, they should come after establishing safety. Ignoring the behavior is not an appropriate response, as it neglects the immediate risks involved. Thus, focusing on safety first provides a foundation for effective further management.