Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

4.3K
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...
4.3K
Cardiopulmonary Resuscitation III: AED Use01:23

Cardiopulmonary Resuscitation III: AED Use

2
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
2
Bystander Effect02:09

Bystander Effect

9.5K
The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.
9.5K
Adrenergic Agonists: Therapeutic Uses01:30

Adrenergic Agonists: Therapeutic Uses

743
Adrenergic agonists have diverse therapeutic uses across various medical conditions and emergencies.
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
743
Assessment of apical radial pulse01:25

Assessment of apical radial pulse

731
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
731

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Variation in Emergency Department Experience With Pediatric Critical Illness.

Annals of emergency medicine·2026
Same author

Achievable Benchmarks of Care in Pediatric Emergency Departments.

JAMA network open·2026
Same author

Pediatric Emergency Agitation Care Enhancement: Protocol for a Prospective Mixed Methods Study.

JMIR research protocols·2026
Same author

Urine Proteomics Identifies Biomarkers for Diagnosis and Fibrosis Severity in Pediatric Chronic Pancreatitis.

Clinical and translational gastroenterology·2026
Same author

Enhancing Outpatient Clinic Recruitment: A Quality Improvement Strategy for a Prospective Research Study.

Archives of rehabilitation research and clinical translation·2026
Same author

The impact of COVID-19 on patterns of burns evaluated in pediatric emergency departments.

Burns : journal of the International Society for Burn Injuries·2025
Same journal

Influenza Vaccine Effectiveness Against Pediatric Death in the United States: 2016-2025.

Pediatrics·2026
Same journal

Averting the Unthinkable: Immunization to Prevent Childhood Deaths From Influenza.

Pediatrics·2026
Same journal

Severe Postoperative Hypernatremia in an Adolescent Following Sleeve Gastrectomy.

Pediatrics·2026
Same journal

Barriers to Implementing SMART for Asthma in Pediatric Primary Care.

Pediatrics·2026
Same journal

Blood Lead Testing Among Children Enrolled in Medicaid.

Pediatrics·2026
Same journal

From Screening to Support: Crafting Social Needs Response Systems That Work for Families.

Pediatrics·2026
See all related articles

Related Experiment Video

Updated: Jun 12, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

17.2K

Predicting Agitation in the Emergency Department.

Bijan Ketabchi1, Lynn Babcock2, Yin Zhang3

  • 1Division of Pediatric Emergency Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.

Pediatrics
|June 10, 2025
PubMed
Summary
This summary is machine-generated.

The Brief Rating of Aggression by Children and Adolescents (BRACHA) and its shortened version (BRACHA-S) accurately predict agitation requiring intervention in youth presenting to the emergency department (ED). These tools enable early risk stratification for improved patient safety.

More Related Videos

Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
04:05

Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis

Published on: June 30, 2023

1.7K
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

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

Published on: November 9, 2016

30.4K

Related Experiment Videos

Last Updated: Jun 12, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

17.2K
Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
04:05

Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis

Published on: June 30, 2023

1.7K
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

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

Published on: November 9, 2016

30.4K

Area of Science:

  • Pediatric Emergency Medicine
  • Child and Adolescent Psychiatry
  • Health Services Research

Background:

  • Emergency departments (EDs) frequently encounter youth with mental and behavioral health (MBH) concerns.
  • Agitation requiring intervention poses risks to patients and staff and complicates ED workflow.
  • Early identification of youth at risk for agitation is crucial for timely intervention and resource allocation.

Purpose of the Study:

  • To evaluate the Brief Rating of Aggression by Children and Adolescents (BRACHA) and its components in predicting agitation requiring intervention among youth in the ED.
  • To develop and validate a tool for early risk stratification of agitated youth in the ED setting.
  • To inform the development of targeted interventions and resource management strategies.

Main Methods:

  • A retrospective cohort study of 32,906 ED MBH encounters involving patients aged 5-18 years (2012-2020).
  • Inclusion criteria required a completed BRACHA assessment.
  • Agitation requiring intervention was the primary outcome, with predictive accuracy measured by Area Under the Receiver Operator Characteristic Curve (AUROC).
  • A shortened version, BRACHA-S, was developed using regression analysis and risk-stratified tiers were created.

Main Results:

  • 10.7% of ED MBH encounters resulted in agitation requiring intervention.
  • The BRACHA demonstrated strong predictive accuracy with an AUROC of 0.81 (95% CI 0.79-0.82).
  • The BRACHA-S achieved an AUROC of 0.80 (95% CI 0.78-0.81).
  • Risk ratios for agitation requiring intervention were 6.0 for moderate-risk and 14.0 for high-risk BRACHA-S tiers compared to low-risk.

Conclusions:

  • Both the BRACHA and BRACHA-S are effective tools for predicting agitation requiring intervention in pediatric ED settings.
  • These validated tools support accurate risk stratification, enabling proactive management strategies.
  • Implementation of BRACHA and BRACHA-S can enhance patient safety and optimize resource allocation in emergency care for youth with MBH concerns.