Management of Agitation During the COVID-19 Pandemic

被引：18

作者：

Wong, Ambrose H. ^{[1
]}

Roppolo, Lynn P. ^{[2
]}

Chang, Bernard P. ^{[3
]}

Yonkers, Kimberly A. ^{[4
]}

Wilson, Michael P. ^{[5
]}

Powsner, Seth ^{[6
]}

Rozel, John S. ^{[7
,8
]}

机构：

[1] Yale Sch Med, Dept Emergency Med, 464 Congress Ave,Suite 260, New Haven, CT 06519 USA

[2] Univ Texas Southwestern, Dept Emergency Med, Dallas, TX USA

[3] Columbia Univ, Dept Emergency Med, Irving Med Ctr, New York, NY USA

[4] Yale Sch Med, Dept Psychiat, Dept Obstet Gynecol & Reprod Sci, New Haven, CT USA

[5] Univ Arkansas Med Sci, Dept Emergency Med, Dept Psychiat, Little Rock, AR 72205 USA

[6] Yale Sch Med, Dept Psychiat, Dept Emergency Med, New Haven, CT 06519 USA

[7] Univ Pittsburgh, Sch Law, Pittsburgh, PA 15260 USA

[8] Univ Pittsburgh, Sch Med, Dept Psychiat, Pittsburgh, PA USA

来源：

WESTERN JOURNAL OF EMERGENCY MEDICINE | 2020年 / 21卷 / 04期

关键词：

PATIENT CONSENSUS STATEMENT; CORONAVIRUS DISEASE 2019; AMERICAN ASSOCIATION; PROJECT BETA; DE-ESCALATION; MENTAL-HEALTH; EMERGENCY; VIOLENCE; CARE; HALOPERIDOL;

D O I：

10.5811/westjem.2020.5.47789

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The coronavirus disease 2019 (COVID-19) pandemic caused by the coronavirus SARS-CoV-2 has radically altered delivery of care in emergency settings. Unprecedented hardship due to ongoing fears of exposure and threats to personal safety, along with societal measures enacted to curb disease transmission, have had broad psychosocial impact on patients and healthcare workers alike. These changes can significantly affect diagnosing and managing behavioral emergencies such as agitation in the emergency department. On behalf of the American Association for Emergency Psychiatry, we highlight unique considerations for patients with severe behavioral symptoms and staff members managing symptoms of agitation during COVID-19. Early detection and treatment of agitation, precautions to minimize staff hazards, coordination with security personnel and psychiatric services, and avoidance of coercive strategies that cause respiratory depression will help mitigate heightened risks to safety caused by this outbreak.

引用

页码：795 / 800

页数：6

共 57 条

[11] Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019-COVID-NET, 14 States, March 1-30, 2020 [J].

Garg, Shikha ;

Kim, Lindsay ;

Whitaker, Michael ;

O'Halloran, Alissa ;

Cummings, Charisse ;

Holstein, Rachel ;

Prill, Mila ;

Chai, Shua J. ;

Kirley, Pam D. ;

Alden, Nisha B. ;

Kawasaki, Breanna ;

Yousey-Hindes, Kimberly ;

Niccolai, Linda ;

Anderson, Evan J. ;

Openo, Kyle P. ;

Weigel, Andrew ;

Monroe, Maya L. ;

Ryan, Patricia ;

Henderson, Justin ;

Kim, Sue ;

Como-Sabetti, Kathy ;

Lynfield, Ruth ;

Sosin, Daniel ;

Torres, Salina ;

Muse, Alison ;

Bennett, Nancy M. ;

Billing, Laurie ;

Sutton, Melissa ;

West, Nicole ;

Schaffner, William ;

Talbot, H. Keipp ;

Aquino, Clarissa ;

George, Andrea ;

Budd, Alicia ;

Brammer, Lynnette ;

Langley, Gayle ;

Hall, Aron J. ;

Fry, Alicia .

MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT, 2020, 69 (15) :458-464

[12] Responding to Covid-19-A Once-in-a-Century Pandemic? [J].

Gates, Bill .

NEW ENGLAND JOURNAL OF MEDICINE, 2020, 382 (18) :1677-1679

[13]

Gautam M., 2020, PSYCHOSOMATICS

[14] Clinical Characteristics of Coronavirus Disease 2019 in China [J].

Guan, W. ;

Ni, Z. ;

Hu, Yu ;

Liang, W. ;

Ou, C. ;

He, J. ;

Liu, L. ;

Shan, H. ;

Lei, C. ;

Hui, D. S. C. ;

Du, B. ;

Li, L. ;

Zeng, G. ;

Yuen, K. -Y. ;

Chen, R. ;

Tang, C. ;

Wang, T. ;

Chen, P. ;

Xiang, J. ;

Li, S. ;

Wang, Jin-lin ;

Liang, Z. ;

Peng, Y. ;

Wei, L. ;

Liu, Y. ;

Hu, Ya-hua ;

Peng, P. ;

Wang, Jian-ming ;

Liu, J. ;

Chen, Z. ;

Li, G. ;

Zheng, Z. ;

Qiu, S. ;

Luo, J. ;

Ye, C. ;

Zhu, S. ;

Zhong, N. .

NEW ENGLAND JOURNAL OF MEDICINE, 2020, 382 (18) :1708-1720

[15] Is there an impact of global and local disasters on psychiatric inpatient admissions? [J].

Haker, H ;

Lauber, C ;

Malti, T ;

Rössler, W .

EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE, 2004, 254 (05) :330-334

[16]

Hisamura M., 2017, Open J. Psychiatr., V07, P131, DOI [10.4236/ojpsych.2017.73013, DOI 10.4236/OJPSYCH]

[17]

Ho CSH, 2020, ANN ACAD MED SINGAP, V49, P155

[18]

Holland Michael, 2020, Vis J Emerg Med, V19, P100740, DOI 10.1016/j.visj.2020.100740

[19] Overview of Project BETA: Best practices in Evaluation and Treatment of Agitation [J].

Holloman, Garland H., Jr. ;

Zeller, Scott L. .

WESTERN JOURNAL OF EMERGENCY MEDICINE, 2012, 13 (01) :1-2

[20] Traumatic Stress in the Age of COVID-19: A Call to Close Critical Gaps and Adapt to New Realities [J].

Horesh, Danny ;

Brown, Adam D. .

PSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY, 2020, 12 (04) :331-335

← 1 2 3 4 5 6 →