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Lessons shared by experts in emergency medicine and psychiatry are helping providers at Parkland Health and Hospital System, Dallas, threatening patient encounters to keep emergency department (ED) staff safe. De-escalation begins with assessing the patient’s level of agitation. Reassuring patients they are in a safe environment and staff are there to help comes next. Strong verbal and non-verbal communication skills and attentive listening are key to successful de-escalation. Parkland uses a violence assessment tool during triage to screen every ED patient and trains nurses in self-defense as well as de-escalation tactics. (Nurse.com , 2/21/22)