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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Acute Respiratory Failure-IV01:23

Acute Respiratory Failure-IV

Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
Aggression01:47

Aggression

Humans engage in aggression when they seek to cause harm or pain to another person. Aggression takes two forms depending on one’s motives: hostile or instrumental. Hostile aggression is motivated by feelings of anger with intent to cause pain; a fight in a bar with a stranger is an example of hostile aggression. In contrast, instrumental aggression is motivated by achieving a goal and does not necessarily involve intent to cause pain (Berkowitz, 1993); a contract killer who murders for hire...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
Dysrhythmias VII: Nursing Management of Dysrhythmias01:25

Dysrhythmias VII: Nursing Management of Dysrhythmias

Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...

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The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
09:12

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress

Published on: July 4, 2013

The agitated patient.

Scott Goldstein

    Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals
    |September 20, 2013
    PubMed
    Summary
    This summary is machine-generated.

    Managing agitated patients is challenging for tactical medics. Understanding the cause through history and physical exams guides effective treatment, ranging from de-escalation to medication or restraint.

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    A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

    Published on: November 9, 2016

    Area of Science:

    • Emergency Medicine
    • Tactical Medicine
    • Psychiatry

    Background:

    • Agitated patients present significant challenges for tactical emergency medical support (TEMS) and Special Operations Forces (SOF) medics.
    • Patient agitation can disrupt operations, requiring extensive resources for control and potentially impacting casualty evacuation.
    • The diverse causes and presentations of agitation necessitate a tailored approach to management.

    Purpose of the Study:

    • To outline the challenges faced by TEMS/SOF medics in managing agitated patients.
    • To emphasize the importance of patient history and physical examination in diagnosing the cause of agitation.
    • To review the spectrum of treatment options for agitated patients, considering their risk-benefit profiles.

    Main Methods:

    • Review of clinical scenarios and challenges in tactical environments.
    • Emphasis on diagnostic clues from patient history and physical examination.
    • Discussion of various management strategies, including verbal de-escalation, pharmacotherapy, and physical restraint.

    Main Results:

    • Agitation in tactical settings poses a high-stress, disruptive environment.
    • Patient history and physical examination are crucial for identifying the underlying cause of agitation.
    • Treatment options are varied and must be selected based on a risk-benefit analysis.

    Conclusions:

    • Effective management of agitated patients in tactical settings relies on accurate diagnosis through thorough assessment.
    • A range of interventions, from non-pharmacological to pharmacological and physical, are available.
    • Careful consideration of the risk-benefit profile of each treatment is essential for safe and timely resolution.