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[Assessment and immediate measures in psychiatric emergencies]
Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|September 1, 1981
Summary
Emergency psychiatric care often involves uncertainty in diagnosing acute psychopathological syndromes. This summary details psycholeptic medications for emergency use, highlighting physostigmine as an underutilized antidote and distraneurine
Area of Science:
- Emergency medicine
- Psychiatry
- Clinical pharmacology
Context:
- Intensive medicine routinely handles suicidal intoxications and delirious conditions with methiazol chloride (distraneurine).
- Outside psychiatric settings, acute psychopathological syndromes present diagnostic and management challenges.
- Cause-unspecific syndrome diagnosis is often necessary for emergency therapy.
Purpose:
- To summarize the effects, indications, and side-effects of psycholeptics in psychiatric emergencies.
- To highlight the therapeutic potential of physostigmine as an antidote.
- To clarify contraindications for specific treatments like distraneurine.
Summary:
- Psycholeptic medications are crucial for managing psychiatric emergencies, with careful consideration of their specific properties.
- Physostigmine is an effective antidote for ethanol and ethyl chloride spray-induced conditions, including conversion-neurotic attacks.
- Distraneurine is contraindicated in alcohol intoxication cases lacking delirious symptomatology.
Impact:
- Aims to reduce uncertainty in emergency psychiatric care by providing clear therapeutic guidelines.
- Promotes the appropriate and effective use of psycholeptic medications in acute settings.
- Enhances patient safety by defining contraindications for specific treatments.