Final answer:
When a patient indicated for SMR is agitated, it's critical to reassess for trauma before proceeding. Sedation or restraints may be used by qualified personnel, only under appropriate protocols and guidelines.
Step-by-step explanation:
If the patient is indicated for Spinal Motion Restriction (SMR) but is agitated, combative, or confused, it is important to not proceed with SMR regardless, as it could worsen the patient's agitation or cause further injury. Reassessing for additional indicators of trauma is essential to determine the appropriate management. If sedation is necessary for patient and provider safety, it should be performed by qualified medical personnel following established protocols. The use of restraining devices may be necessary but should only be used in accordance with legal and ethical guidelines and after other strategies to calm the patient have failed or are inappropriate.