Like other healthcare providers, firefighters, paramedics, and EMTs frequently encounter physically aggressive patients. However, they face the added challenge of managing these situations in unpredictable environments—on the street, in patients’ homes, or within the confined space of an ambulance. Without security personnel on hand, responders must rely on de-escalation and self-defense techniques to ensure their safety while delivering care. The GMD curriculum is specifically adapted for tight spaces, emphasizing seated defensive positioning and confined-space limb control. These non-violent techniques enable EMTs to defuse aggression without harming the patient or disrupting treatment. Chemical restraints can be a reliable resource but only if it can be administered safely, and that’s where the SafeWrap system and other GMD techniques can make all the difference. By integrating GMD into ambulance protocols, emergency responders gain critical skills to navigate high-risk situatio