Paramedic sandwich

[Sarah]

An apparatus in which a patient is placed on and shacked to a [gurney], a second gurney is placed inverted on top of the patient, and the two gurneys are [shackled] together. Used when patients are [stabilized] and represent an extreme risk to themselves or others. May be used as a punitive measure when the threat (or administration) of a rectal exam is considered to be ineffective.