Impact of acutely behavioural disturbed patients in the emergency department: A prospective observational study

Emergency Medicine Australasia : EMA
Matthew OliverDane Chalkley

Abstract

The present study describes patients with acute behavioural disturbance presenting to the ED, the impact they have on the department and any complications that occur. We performed a prospective observational study of adult patients (>17 years old) requiring parenteral sedation for acute behavioural disturbance over a 13 month period. Demographic data, mode of arrival, indication, drug type and dosing used for sedation were collected. Departmental data were recorded including the staff type and numbers involved and the condition of the department. The main outcomes were complications from sedative medication and injury sustained to patients or staff. Over the study period 173 patients met inclusion criteria, the majority (n = 104, 60%) were men with a mean age of 38.5 years (standard deviation 14.4); 51% of patients had more than one indication for sedation (n = 89), the commonest being mental health related plus drug intoxication (n = 30, 33.7%). Intoxication was frequently from either alcohol (n = 62, 47%) or methamphetamine (n = 41, 31%). The median number of staff involved was 10 (interquartile range 8-12). Staff members received an injury in 12% (n = 20) of sedations, with only 1% (n = 2) of patients receiving any physical ...Continue Reading

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Citations

Jul 3, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Celene Y L YapUNKNOWN Sedation for Acute Agitation in Emergency Department Patients: Targeting Adverse Events (SIESTA) Collaborative Study Group
Dec 17, 2019·Emergency Medicine Australasia : EMA·Dhanya NambiarPeter Cameron
Apr 30, 2020·Emergency Medicine Australasia : EMA·Anna CarisonSinead M O'Donnell
Dec 15, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jon B ColeMichael P Wilson
Sep 6, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Marc L MartelJon B Cole
Nov 5, 2020·International Journal of Environmental Research and Public Health·Andrea PiccioniRaffaele La Russa
Jun 28, 2021·The American Journal of Emergency Medicine·Marcello CovinoFrancesco Franceschi

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