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Related Experiment Videos

Violent patients in the emergency setting.

L Citrome1, J Volavka

  • 1Department of Psychiatry, New York University, New York, USA. citrome@nki.rfmh.org

The Psychiatric Clinics of North America
|January 7, 2000
PubMed
Summary
This summary is machine-generated.

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Managing aggressive behavior in the emergency department (ED) requires ruling out medical causes and withdrawal syndromes. Lorazepam offers safe, short-term sedation for acute agitation, while atypical antipsychotics can prevent agitation linked to typical neuroleptic side effects.

Area of Science:

  • Emergency Medicine
  • Psychiatry
  • Pharmacology

Background:

  • Aggressive behavior is a frequent emergency department (ED) presentation.
  • Medical conditions and substance withdrawal must be excluded in agitated patients.

Purpose of the Study:

  • To review the management of acute agitation in the ED.
  • To highlight safe and effective pharmacological interventions.

Main Methods:

  • Literature review of studies on managing aggressive behavior in emergency settings.
  • Analysis of pharmacological options for acute agitation.

Main Results:

  • Medical assessment is crucial to rule out underlying conditions.
  • Alcohol or sedative withdrawal necessitates specific management.

Related Experiment Videos

  • Lorazepam is a safe and effective option for short-term sedation.
  • Atypical antipsychotics administered intramuscularly can prevent agitation caused by typical neuroleptic side effects like akathisia.

    • Conclusions:

    • A systematic approach is needed for patients presenting with aggression.
    • Pharmacological interventions should be chosen carefully to avoid exacerbating agitation.
    • Lorazepam and atypical antipsychotics represent key therapeutic options for acute agitation in the ED.