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一个现代版的搏击俱乐部?急诊科急性躁动患者的稳定与管理。

A Modern-Day Fight Club? The Stabilization and Management of Acutely Agitated Patients in the Emergency Department.

作者信息

New Andrew, Tucci Veronica Theresa, Rios Juan

机构信息

Jackson Memorial Hospital System, 1695 Northwest 9th Avenue, Office 3100, Miami, FL 33136, USA.

Merit Health Wesley, Department of Emergency Medicine, 5001 Hardy Street, Hattiesburg, MS 39402, USA.

出版信息

Psychiatr Clin North Am. 2017 Sep;40(3):397-410. doi: 10.1016/j.psc.2017.05.002.

DOI:10.1016/j.psc.2017.05.002
PMID:28800797
Abstract

This article is an overview of the treatment and management of acutely agitated patients as they present in the emergency department or emergency psychiatric facility. This article focuses on how a patient encounter may unfold and what issues need to be considered along the way. Verbal de-escalation is emphasized as a standard of care, including the offering of environmental changes and medications when indicated. Approved medications are reviewed as well as the proper use of restraints.

摘要

本文概述了急诊室或急诊精神科设施中急性躁动患者的治疗与管理。本文重点关注患者就诊过程可能如何展开以及在此过程中需要考虑哪些问题。言语缓和被强调为一种护理标准,包括在必要时提供环境调整和药物治疗。文中回顾了已批准的药物以及约束措施的正确使用方法。

相似文献

1
A Modern-Day Fight Club? The Stabilization and Management of Acutely Agitated Patients in the Emergency Department.一个现代版的搏击俱乐部?急诊科急性躁动患者的稳定与管理。
Psychiatr Clin North Am. 2017 Sep;40(3):397-410. doi: 10.1016/j.psc.2017.05.002.
2
Approach to the Agitated Emergency Department Patient.急诊室躁动患者的处理方法
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Management of the Agitated Patient.躁动患者的处理。
Emerg Med Clin North Am. 2024 Feb;42(1):13-29. doi: 10.1016/j.emc.2023.06.010. Epub 2023 Jul 28.
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Pharmacological management of the agitated pediatric patient.躁动儿科患者的药物治疗
Pediatr Emerg Care. 2010 Nov;26(11):856-60; quiz 861-3. doi: 10.1097/PEC.0b013e3181f9dce4.
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The use of intramuscular benzodiazepines and antipsychotic agents in the treatment of acute agitation or violence in the emergency department.肌肉注射苯二氮䓬类药物和抗精神病药物在急诊科治疗急性激越或暴力行为中的应用。
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Physical and chemical restraints.物理和化学约束措施。
Emerg Med Clin North Am. 2009 Nov;27(4):655-67, ix. doi: 10.1016/j.emc.2009.07.003.
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Assessment and management of agitation in psychiatry: Expert consensus.精神病学中激越的评估与管理:专家共识
World J Biol Psychiatry. 2016;17(2):86-128. doi: 10.3109/15622975.2015.1132007.
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Managing the agitated psychotic patient: a reappraisal of the evidence.躁动性精神病患者的管理:证据的重新评估
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A review of agitation in mental illness: treatment guidelines and current therapies.精神疾病中的激越综述:治疗指南与当前疗法
J Clin Psychiatry. 2006;67 Suppl 10:13-21.
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Stabilization and Management of the Acutely Agitated or Psychotic Patient.急性激越或精神病患者的稳定与管理
Emerg Med Clin North Am. 2015 Nov;33(4):739-52. doi: 10.1016/j.emc.2015.07.003. Epub 2015 Sep 16.

引用本文的文献

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Updates in the Assessment and Management of Agitation.躁动评估与管理的进展
Focus (Am Psychiatr Publ). 2023 Jan;21(1):35-45. doi: 10.1176/appi.focus.20220064. Epub 2023 Jan 16.
2
Effectiveness and safety of intravenous valproate in agitation: a systematic review.静脉用丙戊酸盐治疗激越的疗效和安全性:系统评价。
Psychopharmacology (Berl). 2022 Feb;239(2):339-350. doi: 10.1007/s00213-021-06009-0. Epub 2021 Nov 16.
3
Improving the management of acutely agitated patients in the emergency department through implementation of Project BETA (Best Practices in the Evaluation and Treatment of Agitation).
通过实施BETA项目(躁动评估与治疗的最佳实践)改善急诊科急性躁动患者的管理。
J Am Coll Emerg Physicians Open. 2020 Jul 3;1(5):898-907. doi: 10.1002/emp2.12138. eCollection 2020 Oct.
4
Acute interventions for aggression and agitation in psychosis: study protocol for a systematic review and network meta-analysis.急性干预精神分裂症激越和躁动的研究方案:系统评价和网络荟萃分析。
BMJ Open. 2019 Oct 10;9(10):e032726. doi: 10.1136/bmjopen-2019-032726.