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Evidence-Based Courses From Experts
- Behavioral Emergencies
- Restraint, Sedation & De-escalation
- Medicolegal Issues

CAPCE-accredited (EMS)

NEJM article by Bivens, Jaeger and Weedn: Handcuffs and Unexpected Deaths, I Can't Breathe as a Medical Emergency

Our Courses

We offer evidence-based online and live courses by experts on challenging and consequential issues, including:

  • Death in Custody & Behavioral Emergencies (agitated patients, de-escalation, restraint, sedation, and ketamine)

  • Medicolegal Issues (medical director liability, criminal charges, behavioral/mental health emergencies)

Expert Instruction. Real-World Experience.

The Hard Work's courses are developed and led by Eric Jaeger, JD, NRP, an experienced EMS educator, paramedic, and attorney with subject-matter expertise in behavioral emergencies, physical restraint, prehospital sedation, and EMS medicolegal issues.

Drawing on his background in clinical practice, education, research, and law—as well as his academic experience at MIT and Boston College Law—Eric brings a multidisciplinary perspective to some of the most challenging situations facing EMS professionals.

Our Mission

Physical restraint and sedation carry significant risk, for the individual being restrained and for those performing the restraint. In some well-publicized tragic cases, people have died. Our goal is to reduce the risk of death by radically reframing the way EMS providers, police officers, emergency physicians and others approach restraint and sedation. Doing so enhances safety for the individual and reduces the risk of liability for those performing the restraint and sedation.​​

NAEMSP article by Jaeger and Mehkri: Revamping Our Approach to Behavioral Emergencies

Dedicated to the hard work that needs to be done at the intersection of society and emergency medicine.

Practical, evidence-based education

We provide education for EMS providers, police officers and emergency department physicians and nurses on enhancing the safety of managing agitated individuals.

Hands-on, simulation training

Our online lectures can be paired with hands-on, simulation-based training at your agency to enhance the learning experience.

Multidisciplinary background

› 20+ years as a paramedic

› Emergency department and prehospital clinical practice

› JD, BC Law School

› BS in Computer Science, MIT

Risk mitigation and liability reduction

Adverse outcomes during restraint and sedation events often result in multi-million-dollar losses. Our training is designed to reduce that risk.

Our Courses

Death in Custody

3 CAPCE CEH · $45

A 3-hour course for EMS clinicians and other prehospital professionals on why deaths in custody occur and how to prevent them. Covers de-escalation, restraint and sedation.

The Financial Cost of Restraint and Sedation Deaths

$374 million

Settlements and verdicts in connection with restraint deaths

1,000 deaths

Over the course of a decade

The majority of these deaths occur during law enforcement encounters. People have also died in ambulances, hospitals, prisons, psychiatric facilities, hotels and even cruise ships while restrained by security guards, clinical staff and bystanders.

Source: AP News, Lethal Restraint (2024)

Read: The High Cost of Death following Restraint and Sedation

Feedback from Eric's Conference Presentations:
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"Thank you so much. Your work on developing this type of education and your willingness to share resources is truly appreciated. I honestly believe you're making a huge impact not only to the local communities you serve, but to all those who have been impacted by your education."
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