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Review
. 2017 Sep;40(3):397-410.
doi: 10.1016/j.psc.2017.05.002.

A Modern-Day Fight Club? The Stabilization and Management of Acutely Agitated Patients in the Emergency Department

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Review

A Modern-Day Fight Club? The Stabilization and Management of Acutely Agitated Patients in the Emergency Department

Andrew New et al. Psychiatr Clin North Am. 2017 Sep.

Abstract

This article is an overview of the treatment and management of acutely agitated patients as they present in the emergency department or emergency psychiatric facility. This article focuses on how a patient encounter may unfold and what issues need to be considered along the way. Verbal de-escalation is emphasized as a standard of care, including the offering of environmental changes and medications when indicated. Approved medications are reviewed as well as the proper use of restraints.

Keywords: Agitation; Altered mental status; De-escalation; Emergency psychiatry; Evaluation; Management; Treatment.

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