Strategies for optimal management of pediatric acute agitation in emergency settings

IF 1.6 Q2 EMERGENCY MEDICINE

Journal of the American College of Emergency Physicians open Pub Date : 2024-08-23 DOI:10.1002/emp2.13255

Mohsen Saidinejad MD, MBA, Ashley A. Foster MD, Genevieve Santillanes MD, Joyce Li MD, MPH, Dina Wallin MD, Isabel A. Barata MD, MBA, Madeline Joseph MD, Emily Rose MD, Tabitha Cheng MD, Muhammad Waseem MD, MS, Kathleen Berg MD, Gwendolyn Hooley MD, Timothy Ruttan MD, Sam Shahid MBBS, MPH, Samuel H. F. Lam MD, MPH, Siraj Amanullah MD, Sophia Lin MD, Melanie S. Heniff MD, MHA, Kathleen Brown MD, Marianne Gausche-Hill MD, ACEP Pediatric Emergency Medicine Committee

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引用次数: 0

Abstract

Acute agitation in youth is a challenging presentation to the emergency department. In many cases, however, youth can be behaviorally de-escalated using a combination of environmental modification and verbal de-escalation. In cases where additional strategies such as pharmacologic de-escalation or physical restraint are needed, using the least restrictive means possible, including the youth in the decision-making process, and providing options are important. This paper reviews specific considerations on the approach to a youth with acute agitation and strategies and techniques to successfully de-escalate agitated youth who pose a danger to themselves and/or others.

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急诊环境中儿科急性躁动的优化管理策略

青少年的急性躁动是急诊科面临的一项挑战。不过，在很多情况下，可以通过改变环境和口头降级相结合的方法来缓解青少年的行为。在需要使用药物降级或物理约束等其他策略的情况下，使用限制性最小的手段、让青少年参与决策过程以及提供选择方案都非常重要。本文回顾了处理急性躁动青少年的具体注意事项，以及成功缓解对自己和/或他人构成危险的躁动青少年的策略和技巧。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American College of Emergency Physicians open

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

5 weeks