Crisis in the Emergency Department The Evaluation and Management of Acute Agitation in Children and Adolescents

被引：41

作者：

Gerson, Ruth ^{[1
]}

Malas, Nasuh ^{[2
,3
]}

Mroczkowski, Megan M. ^{[4
]}

机构：

[1] NYU Langon, Dept Child & Adolescent Psychiat, 462 1st Ave, New York, NY 10016 USA

[2] Univ Michigan Hosp Syst, CS Mott Childrens Hosp, Dept Psychiat, Div Child & Adolescent Psychiat, 1500 East Med Ctr Dr,L5023,5PC 5277, Ann Arbor, MI 48109 USA

[3] Univ Michigan Hosp Syst, CS Mott Childrens Hosp, Dept Pediat, 1500 East Med Ctr Dr,L5023,SPC 5277, Ann Arbor, MI 48109 USA

[4] Columbia Univ, Med Ctr, Dept Psychiat, 3959 Broadway CHONY 6N, New York, NY 10032 USA

来源：

CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA | 2018年 / 27卷 / 03期

关键词：

Agitation; Aggression; Restraint/seclusion; Emergency department; Delirium; AUTISM SPECTRUM DISORDERS; PHARMACOLOGICAL MANAGEMENT; PSYCHIATRIC-PATIENTS; MENTAL-HEALTH; SITUATIONAL AGGRESSION; IMMINENT AGGRESSION; REFERRED CHILDREN; DYNAMIC APPRAISAL; PRN MEDICATIONS; ASSESSING RISK;

D O I：

10.1016/j.chc.2018.02.002

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Acute agitation in children and adolescents in the emergency department carries significant risks to patients and staff and requires skillful management, using both nonpharmacologic and pharmacologic strategies. Effective management of agitation requires understanding and addressing the multifactorial cause of the agitation. Careful observation and multidisciplinary collaboration is important. Medical workup of agitated patients is also critical. Nonpharmacologic deescalation strategies should be first line for preventing and managing agitation and should continue during and after medication administration. Choice of medication should focus on addressing the cause of the agitation and any underlying psychiatric syndromes.

引用

页码：367 / +

页数：21

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