Saidinejad Mohsen, Foster Ashley A, Santillanes Genevieve, Li Joyce, Wallin Dina, Barata Isabel A, Joseph Madeline, Rose Emily, Cheng Tabitha, Waseem Muhammad, Berg Kathleen, Hooley Gwendolyn, Ruttan Timothy, Shahid Sam, Lam Samuel H F, Amanullah Siraj, Lin Sophia, Heniff Melanie S, Brown Kathleen, Gausche-Hill Marianne
David Geffen School of Medicine at UCLA The Lundquist Institute for Biomedical Innovation at Harbor UCLA Department of Emergency Medicine, Harbor UCLA Medical Center Torrance California USA.
Department of Emergency Medicine Benioff Children's Hospital University of California San Francisco California USA.
J Am Coll Emerg Physicians Open. 2024 Aug 23;5(4):e13255. doi: 10.1002/emp2.13255. eCollection 2024 Aug.
Acute agitation in youth is a challenging presentation to the emergency department. In many cases, however, youth can be behaviorally de-escalated using a combination of environmental modification and verbal de-escalation. In cases where additional strategies such as pharmacologic de-escalation or physical restraint are needed, using the least restrictive means possible, including the youth in the decision-making process, and providing options are important. This paper reviews specific considerations on the approach to a youth with acute agitation and strategies and techniques to successfully de-escalate agitated youth who pose a danger to themselves and/or others.
青少年急性躁动是急诊科面临的一个具有挑战性的情况。然而，在许多情况下，可以通过环境调整和言语缓和相结合的方式使青少年的行为得到缓解。在需要药物缓和或身体约束等额外策略的情况下，尽可能使用限制最小的手段，让青少年参与决策过程，并提供选择，这很重要。本文回顾了针对急性躁动青少年的处理方法的具体注意事项，以及成功缓解对自己和/或他人构成危险的躁动青少年的策略和技巧。
