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Published on: November 9, 2016
Pharmacological management of the agitated pediatric patient
Andrea J Adimando1, Yann B Poncin, Carl R Baum
1Yale-New Haven Children's Hospital, New Haven, CT, USA.
Insights
Pediatric emergency departments frequently encounter agitated children. Recognizing risk factors and timely assessment are crucial for safe and effective management, often involving medication.
Area of Science:
- Pediatric Emergency Medicine
- Child Psychiatry
- Behavioral Pediatrics
Background:
- Children with behavioral or psychiatric issues are often seen in pediatric emergency rooms.
- Agitation or violence can occur during evaluation, posing challenges for staff.
- Effective management strategies are needed for patient and staff safety.
Purpose of the Study:
- To highlight the importance of recognizing risk factors for agitation in pediatric emergency settings.
- To emphasize the need for timely assessment of agitated pediatric patients.
- To discuss the role of pharmacological interventions in managing pediatric agitation.
Main Methods:
- Review of existing literature on pediatric agitation in emergency departments.
- Analysis of risk factors associated with behavioral emergencies in children.
- Discussion of current management approaches, including pharmacological options.
Main Results:
- Agitation is a common presentation in pediatric emergency evaluations.
- Awareness of risk factors aids in proactive patient assessment.
- Pharmacological agents can be safely and effectively used to manage agitation.
Conclusions:
- Pediatric emergency practitioners must be prepared to manage agitated children.
- Timely assessment and appropriate interventions, including medication, are key to positive outcomes.
- Ensuring safety for both patients and staff is paramount in managing behavioral emergencies.
Abstract:
Children with behavioral or psychiatric complaints are often evaluated in pediatric emergency room settings, and may present as agitated or violent at any point during the evaluation process. Emergency department-based practitioners should be aware of risk factors associated with agitation and should be able to assess the agitated patient in a timely fashion. Management may require the use of pharmacological agents that can mitigate agitation safely and effectively, thus ensuring good outcomes for patients and emergency department staff.
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