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
References
Jul 29, 1998·Journal of Accident & Emergency Medicine·M G JenkinsD M Hughes
Jun 28, 2000·The Australian & New Zealand Journal of Obstetrics & Gynaecology·C L RobertsD Henderson-Smart
Feb 1, 2003·The Journal of the Royal Society for the Promotion of Health·P Fleming, H D Harvey
Dec 23, 2003·Journal of Clinical Nursing·Sue Winstanley, Richard Whittington
Mar 26, 2004·Accident and Emergency Nursing·Julia CrillyDebra Creedy
Aug 11, 2005·Emergency Medicine Australasia : EMA·Jonathan C KnottDavid McD Taylor
Oct 6, 2005·The Medical Journal of Australia·Marcus P Kennedy
Jan 3, 2006·Annals of Emergency Medicine·Jonathan C KnottDavid J Castle
May 22, 2007·Community Mental Health Journal·J Remmers van Veldhuizen
Jun 15, 2007·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Alister N Hodge, Andrea P Marshall
Jun 12, 2009·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Milton Tenenbein
Sep 28, 2010·Annals of Emergency Medicine·Geoffrey K IsbisterMichael A Downes
Dec 14, 2011·Emergency Medicine Australasia : EMA·Alan S TankelRick van der Zwan
Dec 12, 2012·Emergency Medicine Australasia : EMA·Toby FoggJohn Vassiliadis
Mar 16, 2013·International Journal of Stroke : Official Journal of the International Stroke Society·Parker MaginChristopher Levi
Nov 13, 2014·The Medical Journal of Australia·Diana Egerton-WarburtonDrew B Richardson
Mar 18, 2015·CJEM·Amy C PlintDavid W Johnson
Apr 22, 2015·Annals of Emergency Medicine·Leonie CalverGeoffrey Kennedy Isbister
Feb 20, 2016·Cell Death and Differentiation·T ChernovaM MacFarlane
Mar 23, 2017·Mayo Clinic Proceedings·Karen E MoellerKelly C Lee
Apr 14, 2017·Emergency Medicine Australasia : EMA·Shradha NikathilBiswadev Mitra
Nov 9, 2017·Emergency Medicine Australasia : EMA·Shradha NikathilBiswadev Mitra
Feb 17, 2018·BMJ Open Quality·Joseph CarsonSherri Lawson
Apr 4, 2018·Vaccine· World Health Organization
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
Feb 25, 2020·Emergency Medicine Australasia : EMA·Quang Nhat TranAmanda L Neil
Aug 14, 2020·International Journal of Mental Health Nursing·Timothy WandKathryn White
Dec 17, 2019·Emergency Medicine Australasia : EMA·Dhanya NambiarPeter Cameron
May 2, 2020·Emergency Medicine Australasia : EMA·Timothy WandKathryn White
Jul 20, 2020·Emergency Medicine Australasia : EMA·Timothy WandKathryn White
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
Apr 14, 2021·Annals of Emergency Medicine·Jon B ColeBrian E Driver
Jun 28, 2021·The American Journal of Emergency Medicine·Marcello CovinoFrancesco Franceschi