Heisenberg in the ER: observation appears to reduce involuntary intramuscular injections in a psychiatric emergency service

Damsa, Cristian; Ikelheimer, Douglas; Adam, E.; Maris, Stella; Andréoli, A.; Lazignac, Coralie; Allen, Michael

doi:10.1016/j.genhosppsych.2006.06.001

Cited by 16 publications

(8 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although these scales are not in wide clinical use, one recent report suggests that routine use of the PANSS-EC reduced the use of restraints in an emergency department by 27% from 8.6% to 6.3%, an effect size of 0.91. 13…”

Section: Methodsmentioning

confidence: 99%

Managing the Acutely Agitated and Psychotic Patient

Nordstrom¹,

Allen²

2007

CNS Spectr.

Self Cite

View full text Add to dashboard Cite

Agitation can present as an emergency in the course of numerous psychiatric conditions including intoxication, schizophrenia, bipolar disorder, and delirium. This article reviews relevant literature regarding the definition, etiology, measurement, and management of episodic agitation and pays particular attention to intramuscular treatments. The impact of changes in methodology between the era of first- and second-generation antipsychotics, the implications of those changes for external validity of studies of second-generation studies, and the recent evolution of expert consensus are discussed.

show abstract

Section: Methodsmentioning

confidence: 99%

Managing the Acutely Agitated and Psychotic Patient

Nordstrom¹,

Allen²

2007

CNS Spectr.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Implementation of the PANSS-EC in assessing agitation in newly admitted patients with schizophrenia has been shown to result in a more favourable clinical outcome (11), and might reduce the use of coercive measures (12).…”

Section: Background and Aimmentioning

confidence: 99%

Treatment of agitation in the acute psychiatric setting. An observational study of the effectiveness of intramuscular psychotropic medication

Bauer¹,

Stenborg²,

Lodahl³

et al. 2016

Nordic Journal of Psychiatry

View full text Add to dashboard Cite

show abstract

“…Some find the use of scales to be helpful in addressing the level of agitation. In fact, Damsa and colleagues found that when they routinely used the Positive and Negative Syndrome Scale (PANSS)-Excitatory Component on agitated patients, the need for restraints declines by 27% [9]. Violence is sometimes seen in those with severe agitation but the link between the two is still unknown.…”

Section: Review Nordstrommentioning

confidence: 99%

Inhaled loxapine for rapid treatment of agitation in schizophrenia and bipolar disorder: an update

Nordstrom¹

2012

Neuropsychiatry

View full text Add to dashboard Cite

Agitation is a common presenting problem in emergency departments and treatments currently range from de-escalation techniques to medications, in either oral or intramuscular forms. Oral medications can be diverted and have a relatively long delay of onset. This delay is problematic for agitated patients in that the agitation may escalate prior to onset of action of the medication. This can lead to the need for intramuscular medications or even physical restraints. Regarding intramuscular medications, they tend to work more quickly but are highly invasive. A new delivery system using loxapine is currently being

show abstract

Heisenberg in the ER: observation appears to reduce involuntary intramuscular injections in a psychiatric emergency service

Cited by 16 publications

References 6 publications

Managing the Acutely Agitated and Psychotic Patient

Managing the Acutely Agitated and Psychotic Patient

Treatment of agitation in the acute psychiatric setting. An observational study of the effectiveness of intramuscular psychotropic medication

Inhaled loxapine for rapid treatment of agitation in schizophrenia and bipolar disorder: an update

Contact Info

Product

Resources

About