In a chaotic situation, the immediate safety of all concerned must be the first consideration. If in doubt ask for help. Do not approach a risk situation unaccompanied. If you cannot communicate or negotiate with a threatening person, concentrate on safety. Quickly assess the situation Safety: Whose safety is at risk? Does the patient have a weapon? Cooperation: Are you able to create a verbal connection with the threatening person? Treatment: Does the patient have a physical or psychiatric illness that requires immediate management?