Structured team approach to the agitated patient in the emergency department

Abstract

Acute behavioural disturbance was common in the present study, and underlying causes were predominantly organic in nature. A team approach appears to be valuable in managing these incidents.

Padrões mínimos para assistência de enfermagem segura a usuários de bebidas alcoólicas Minimum standards for safe nursing care for users of alcoholic beverages

“…19 During the admission to the emergency room, patients often refuse care in such rooms, as they are commonly taken against their will, and have difficulty in maintaining a confidential relationship in an open environment in which nurses, doctors, security guards, rescuers, other patients and patients companions interact simultaneously. 4 …”

“…These units provide care for people in need of immediate actions of the health team, however, to extend life and prevent possible sequel, this service should be provided with quality and security. [3][4] The need for security must be met in order to avoid adverse events or damages during the assistence. 5 Considering that nursing plays a key role in providing assistance to this specific population, it's up to the nurses ensuring mainly the patients safety, recovery, safe and qualified care -considered essential attributes played by nurse.…”

“…This unpreparedness or difficulty with caring, coupled with the design of the patient as potentially aggressive, permeates the idea that alcoholics should be assisted in a specific location, separate from other specialties. 4 The establishment of minimum standards with criteria for assistance and conduct with scientific evidence can collaborate in the modification of nursing practice (JCR, 2008). 6 The establishment and implementation of these standards should be based on the reality of healthcare conditions and interventions and practical actions to prevent any kind of harm to the patient.…”

Evaluation and Management of Children and Adolescents With Acute Mental Health or Behavioral Problems. Part I: Common Clinical Challenges of Patients With Mental Health and/or Behavioral Emergencies

“…61,129,182,185 It is unethical to use restraints for convenience or punishment and when prohibited by law or regulation or by untrained personnel. 185 …”

“…112 The 3 most commonly used classes of drugs for this purpose are the typical antipsychotics, atypical antipsychotics, and benzodiazepines. 124,125,129 Antipsychotics Antipsychotics exert their effect primarily as CNS dopamine receptor antagonists. 130,131 "Low-potency" agents (eg, chlorpromazine and thioridazine) are more sedating, with fewer extrapyramidal symptoms than "high-potency" agents (eg, haloperidol and droperidol), which are less sedating but more likely to cause extrapyramidal symptoms.…”