First line in psychiatric emergency: pre-hospital emergency protocol for mental disorders in Iran

Shirzad, Fatemeh; Hadi, Fatemeh; Mortazavi, Seyede Salehe; Biglari, Maryam; Sari, Hassan Noori; Mohammadi, Zeinab; Atoofi, Mehrdad Kazemzade; Shariat, Seyed Vahid

doi:10.1186/s12873-020-00313-2

Cited by 5 publications

(2 citation statements)

References 29 publications

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“…First and foremost, there is a lack of properly organized education and training on the prehospital treatment of psychiatric emergencies. Shirzad et al attempted to use a protocol-based approach to organize prehospital paramedic-based care for psychiatrically ill patients [ 20 ]. This appears appropriate considering the uncertainties pertaining to this group of patients.…”

Section: Discussionmentioning

confidence: 99%

Medical experience as an influencing parameter in emergency medical care for psychiatric emergencies: retrospective analysis of a multicenter survey

Schick,

Mayer,

Hensel

et al. 2023

BMC Emerg Med

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Background Prehospital care of psychiatric patients often relies on the medical experience of prehospital emergency physicians (PHEPs). The psychiatrists (PSs) involved in the further treatment of psychiatric patients also often rely on their experience. Furthermore, the interaction between PHEPs and PSs is characterized by interaction problems and different approaches in the prehospital care of the psychiatric emergency. Objectives To analyze the phenomenon of “medical experience” as a cause of possible interaction-related problems and assess its impact on the prehospital decision-making process between prehospital emergency physicians and psychiatrists. Methods The retrospective data analysis was conducted between November 2022 and March 2023. Medical experience was defined as follows, based on the demographic information collected in the questionnaires: For PHEPs, the period since obtaining the additional qualification in emergency medicine was defined as a surrogate marker of medical experience: (i) inexperienced: < 1 year, (ii) experienced: 1–5 years, (iii) very experienced: > 5 years. For PSs, age in years was used as a surrogate parameter of medical experience: (i) inexperienced: 25–35 years, (ii) experienced: 35–45 years, (iii) very experienced: > 45 years. Results Inexperienced PSs most frequently expressed anxiety about the psychiatric emergency referred by a PHEP (27.9%). Experienced PHEPs most frequently reported a lack of qualifications in handling the care of psychiatric emergencies (p = 0.002). Very experienced PHEPs were significantly more likely to have a referral refused by the acute psychiatric hospital if an inexperienced PS was on duty (p = 0.01). Experienced PHEPs apply an intravenous hypnotic significantly more often (almost 15%) than PSs of all experience levels (p = 0.001). In addition, very experienced PHEPs sought prehospital phone contact with acute psychiatry significantly more often (p = 0.01). Conclusion PHEPs should be aware that the PS on duty may be inexperienced and that treating emergency patients may cause him/her anxiety. On the other hand, PHEPs should be receptive to feedback from PS who have identified a qualification deficiency in them. Jointly developed, individualized emergency plans could lead to better prehospital care for psychiatric emergency patients. Further training in the prehospital management of psychiatric disorders is needed to minimize the existing skills gap among PHEPs in the management of psychiatric disorders.

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Section: Discussionmentioning

confidence: 99%

Medical experience as an influencing parameter in emergency medical care for psychiatric emergencies: retrospective analysis of a multicenter survey

Schick,

Mayer,

Hensel

et al. 2023

BMC Emerg Med

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“…Verbal de-eskalasi merupakan suatu teknik menenangkan atau menurunkan ketegangan pasien secara verbal dengan membujuk atau berbicara pelan. 9,14,15 Manajemen Agitasi : Intervensi Farmakologis.…”

Section: A N a J E M E N A G I T A S I : I N T E R V E N S I N O N Fa...unclassified

Mengenali Dan Tata Laksana Agitasi Pada Skizofrenia Di Instalasi Gawat Darurat Rumah Sakit

Amtarina

2023

JIK

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Agitation is common condition that can be found in psychotic disorder such as schizophrenia. Agitation is marked by restlessness, excessive motoric and verbal. This condition caused the patient brought to emergency because the crucial condition. It is challenging for medical staff to make an accurate diagnosis and manage the agitated patient. Agitation can go up into aggressive behavior and endangering everyone. In this literature review, we will discuss treatment to reduce agitation in schizophrenic patients.

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Psychological Assessment and Intervention at the Boston Marathon

Brown,

Raeder,

Troyanos

et al. 2024

Sports Med

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First line in psychiatric emergency: pre-hospital emergency protocol for mental disorders in Iran

Cited by 5 publications

References 29 publications

Medical experience as an influencing parameter in emergency medical care for psychiatric emergencies: retrospective analysis of a multicenter survey

Medical experience as an influencing parameter in emergency medical care for psychiatric emergencies: retrospective analysis of a multicenter survey

Mengenali Dan Tata Laksana Agitasi Pada Skizofrenia Di Instalasi Gawat Darurat Rumah Sakit

Psychological Assessment and Intervention at the Boston Marathon

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