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Behavioral emergencies. be careful!. Possible Causes. Alcohol & drugs Head injury Metabolic disorders (diabetes, renal) Neurological Psychiatric illness Stress response. Managing a Disruptive Situation. protect self and others be prepared to spend extra time have a plan of action
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Behavioral emergencies be careful!
Possible Causes • Alcohol & drugs • Head injury • Metabolic disorders (diabetes, renal) • Neurological • Psychiatric illness • Stress response
Managing a Disruptive Situation • protect self and others • be prepared to spend extra time • have a plan of action • reduce distractions • take charge - be confident • Do not get too close • avoid fighting • summon law enforcement prn
DON’T • diagnose • judge • label • express accusations and anger
Consent • not mentally competent = implied consent. • not always clear-cut with psychiatric emergencies • If you are not sure, request law enforcement assistance.
Restraints • Use only in emergency • Transport without restraints if possible • If you must restrain, use only reasonable force. • Law enforcement personnel should be involved.
Suicide • Depression is the single most significant factor • An attempted suicide is a cry for help • Immediate intervention is necessary • patients will usually exhibit warning signs
Suicidal Patients • protect self & others • do not leave alone • question patient regarding his/her feelings & prior attempts • ask open ended questions • keep direct eye contact • If injured or OD - treat appropriately • Suicidal Ideations - incompetent
Potentially Violent Patients • Use a list of risk factors to assess the level of danger: • Past history • Posture • Scene • Vocal activity • Physical activity