Medical Evaluation and Triage of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA Medical Evaluation Workgroup

作者: Kimberly Nordstrom , Leslie Zun , Michael Wilson , Victor Stiebel , Anthony Ng

DOI: 10.5811/WESTJEM.2011.9.6863

关键词: MEDLINETriageEtiologyWorkgroupDe-escalationMedical evaluationMental healthEmergency medicineMedical emergencyEmergency psychiatryMedicine

摘要: Numerous medical and psychiatric conditions can cause agitation; some of these causes are life threatening. It is important to be able differentiate between nonmedical agitation so that patients receive appropriate timely treatment. This article aims educate all clinicians in settings, such as mental health clinics, settings on the differing levels severity agitation, basic triage, use de-escalation, factors, symptoms, signs determining whether a etiology likely. Lastly, this focuses workup when suspected or unclear.

参考文章(26)
Louis R Caplan, Delirium: a neurologist's view--the neurology of agitation and overactivity. Reviews in neurological diseases. ,vol. 7, pp. 111- 118 ,(2010)
Richard Saitz, Introduction to alcohol withdrawal. Alcohol health and research world. ,vol. 22, pp. 5- 12 ,(1998)
S C Yudofsky, J M Silver, The Overt Aggression Scale: overview and guiding principles. Journal of Neuropsychiatry and Clinical Neurosciences. ,vol. 3, ,(1991)
Heather J. Kopecky, Charles R. Kopecky, Stuart C. Yudofsky, Reliability and validity of the Overt Agitation Severity Scale in adult psychiatric inpatients. Psychiatric Quarterly. ,vol. 69, pp. 301- 323 ,(1998) , 10.1023/A:1022182114925
Vishal Khurana, Indrajeet Singh Gambhir, Dhiraj Kishore, Evaluation of delirium in elderly: A hospital-based study Geriatrics & Gerontology International. ,vol. 11, pp. 467- 473 ,(2011) , 10.1111/J.1447-0594.2011.00710.X
Carmelle Peisah, Daniel Kam Yin Chan, R McKay, Susan E Kurrle, Sharon G Reutens, Practical guidelines for the acute emergency sedation of the severely agitated older patient. Internal Medicine Journal. ,vol. 41, pp. 651- 657 ,(2011) , 10.1111/J.1445-5994.2011.02560.X
R.H Swift, E.P Harrigan, J.C Cappelleri, D Kramer, L.P Chandler, Validation of the behavioural activity rating scale (BARS): a novel measure of activity in agitated patients. Journal of Psychiatric Research. ,vol. 36, pp. 87- 95 ,(2002) , 10.1016/S0022-3956(01)00052-8
Richard L Harris, Daniel M Musher, Kim Bloom, Joe Gathe, Lawrence Rice, Barrett Sugarman, Temple W Williams, Edward J Young, Manifestations of Sepsis Archives of Internal Medicine. ,vol. 147, pp. 1895- 1906 ,(1987) , 10.1001/ARCHINTE.1987.00370110023003
Leslie s Zun, Roma Hernandez, Randy Thompson, Lavonne Downey, Comparison of EPs’ and psychiatrists’ laboratory assessment of psychiatric patients American Journal of Emergency Medicine. ,vol. 22, pp. 175- 180 ,(2004) , 10.1016/J.AJEM.2004.02.008
A. W. Oldenbeuving, P. L. M. de Kort, B. P. W. Jansen, A. Algra, L. J. Kappelle, G. Roks, Delirium in the acute phase after stroke Incidence, risk factors, and outcome Neurology. ,vol. 76, pp. 993- 999 ,(2011) , 10.1212/WNL.0B013E318210411F