New Andrew, Tucci Veronica Theresa, Rios Juan
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.
Psychiatr Clin North Am. 2017 Sep;40(3):397-410. doi: 10.1016/j.psc.2017.05.002.
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.
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。