精神科急诊一线：伊朗精神障碍的院前急救方案。
First line in psychiatric emergency: pre-hospital emergency protocol for mental disorders in Iran.
机构信息
Spiritual Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
Mental Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
出版信息
BMC Emerg Med. 2020 Mar 16;20(1):19. doi: 10.1186/s12873-020-00313-2.
INTRODUCTION
This article is a report of designing a rapid and effective guide for paramedics who take care of patients in a pre-hospital setting to answer developing demands.
METHODS
The relevant literature was reviewed, and the topics were extracted. Then, the extracted items were discussed in an expert panel. Finally, items were discussed in a meeting including emergency technicians and emergency technical assistants to identify implementation problems.
RESULTS
Important topics for managing psychiatric patients were categorized at three levels: 1) Patient safety and security issues, 2) Patient status assessment and diagnosis, and 3) Patient management (medical, behavioral management, and referral to a treatment center).
DISCUSSION
This protocol can be a solution to improve emergency technician training. Such summarized protocols can be used for rapid review immediately before exposing a patient with an acute psychiatric condition. Due to specific cultural and different access to medicines in Iran, some issues are different.
简介
本文旨在为负责院前照护患者的护理人员设计一份快速有效的指南，以满足不断发展的需求。
方法
回顾相关文献，并提取主题。然后，在专家小组中讨论提取的项目。最后，召集急救技术员和急救技术助理在会议上讨论，以确定实施过程中的问题。
结果
管理精神科患者的重要议题分为三个层次：1）患者安全和保障问题，2）患者状况评估和诊断，3）患者管理（医疗、行为管理和转诊至治疗中心）。
讨论
本方案可作为改进急救技术员培训的解决方案。此类总结方案可在接触急性精神科患者之前快速审查。由于伊朗的文化和药物获取方式存在差异，一些问题也有所不同。
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