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Articles Tagged With: agitation

  • The Case for a Team Approach to Manage Agitated Patients

    While many EDs have instituted mechanisms to quickly trigger security staff, a Connecticut hospital created a unique team-based protocol that includes security and clinicians. Everyone works together to protect staff and prevent the need for restraints, sedatives, or other potentially harmful interventions. After three years, staff report they feel safer, and new data show the approach is associated with a lower rate of physical restraint use.

  • The Case for a Team Approach to Manage Agitated Patients

    While many EDs have instituted mechanisms to quickly trigger security staff, a Connecticut hospital created a unique team-based protocol that includes security and clinicians. Everyone works together to protect staff and prevent the need for restraints, sedatives, or other potentially harmful interventions. After three years, staff report they feel safer, and new data show the approach is associated with a lower rate of physical restraint use.

  • Risk Factors for Physical Restraint in ED

    Researchers analyzed 726,417 adult visits to three hospital EDs in the Yale-New Haven Health System that occurred from 2013-2018. A total of 7,090 patients were physically restrained. Of this group, 64.8% were male, 28.8% were Black or African American, 71% presented with either Medicare or Medicaid, and 2.3% were homeless. Visits that were higher-acuity, visits later in the day, and visits with behavioral chief concerns also were more likely to include physical restraint.

  • Ketamine Use in Emergency Medicine

    Ketamine is a medication traditionally used by emergency physicians for intubation and procedural sedation. This article will discuss many common and accepted uses of ketamine, primarily for agitation, rapid sequence intubation (RSI), sedation, and pain management.

  • Adverse Reactions to Cannabis and Cannabinoids

    Understanding the potential reactions that can occur from cannabis and synthetic cannabinoids can help emergency physicians recognize these effects in patients who may present to the emergency department.

  • Management of the Violent Patient in the Emergency Department

    Violent patients in the emergency department present a complex problem for care providers. This article will help us to predict violence and provide some guidelines for the management.