[Necessity for treatment of psychiatric emergencies in the emergency medical service. Evaluation of the "indicator for psychiatric pharmacotherapy"].

Der Anaesthesist
Andreas BiedlerF G Pajonk

Abstract

Psychiatric emergency situations (PES) are common in the physician-based emergency medical system (EMS) in Germany. However, many emergency physicians (EP) feel insecure in assessing the necessity for treatment of these patients. The aim of this investigation was to evaluate whether a short, newly developed questionnaire (Indicator for Psychiatric Pharmacotherapy, IPP) is able to help EPs in deciding for or against pharmacological treatment. The protocols of the EMS at the Saarland University Hospital were prospectively collected over a 1-year period and PESs were identified and analyzed in detail. The 7-item IPP, which focuses on the most relevant psychiatric symptoms, was to be completed for each PES. Among all calls for an EP (2,114) 250 (11.8%) were classified as a PES. The most frequent diagnoses were alcoholic intoxication, state of agitation and suicide attempts. Of the IPP questionnaires 193 could be evaluated and in 31.2% of all PESs a specific psychiatric medication was administered. These patients scored significantly higher in the IPP compared to those who did not receive medication (8.0 ± 3.9 compared to 5.6 ± 3.2, p < 0.001). The IPP items "anxiety", "agitation/aggression", "mood" and "physical symptoms/disorders"...Continue Reading

References

Sep 19, 1998·Der Anaesthesist·F G PajonkH P Moecke
Mar 28, 2001·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·F G PajonkUNKNOWN Arbeitsgruppe Psychiatrie und Rettungswesen
Jun 2, 2001·Fortschritte der Neurologie-Psychiatrie·F G PajonkUNKNOWN Arbeitsgruppe Psychiatrie und Rettungswesen
Dec 26, 2002·Crisis·Frank-Gerald PajonkDieter Naber
Mar 8, 2003·Fortschritte der Neurologie-Psychiatrie·B KardelsF Wenning
Mar 14, 2003·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·Th Luiz, M Kumpch
Jul 1, 2008·General Hospital Psychiatry·Frank-Gerald PajonkChristian Madler

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Citations

Nov 14, 2013·Medizinische Klinik, Intensivmedizin und Notfallmedizin·A WolfF-G B Pajonk
Mar 21, 2012·Der Anaesthesist·E PufferF-G B Pajonk
Jun 24, 2015·Der Nervenarzt·F-G B Pajonk
Apr 22, 2015·Der Anaesthesist·Maria Theresa VölkerSven Bercker

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