Rossi Jennifer, Swan Megan C, Isaacs Eric D
Division of Emergency Medicine, Stanford University School of Medicine, 701 Welch Road, Palo Alto, CA 94304, USA.
Emerg Med Clin North Am. 2010 Feb;28(1):235-56, x. doi: 10.1016/j.emc.2009.10.006.
Violent and agitated patients are high risk because they may pose a physical threat to the staff, may harm themselves, and may have dangerous comorbidities and illness that are causing the violence. The emergency physician must quickly control these behaviors, and thoroughly identify and treat their etiology, while simultaneously protecting the patients' rights and reducing the risks of injury to themselves, other patients, and medical staff. This article highlights potentially high-risk situations and describes corresponding mitigation tactics.
暴力和烦躁不安的患者属于高危人群,因为他们可能对工作人员构成身体威胁,可能伤害自己,并且可能患有导致暴力行为的危险合并症和疾病。急诊医生必须迅速控制这些行为,全面识别并治疗其病因,同时保护患者的权利,降低患者自身、其他患者和医护人员受伤的风险。本文重点介绍了潜在的高风险情况并描述了相应的缓解策略。