EDs and waiting rooms are areas of high prevalence for violence
Higher risk associated with busier EDs
Patients with primary psychiatric complaints are likely to be boarding >24 hr ...
Early signs of impending violence risk (nonspecific):
Physical agitation or tension (pacing, clenching fists, darting eyes)
Later signs of impending violence risk:
Medical workup is important, but in an emergency you may need to restrain potentially violent patients 1st to reduce risk of harm to self or others
Involve security or police as needed
Medical admission for medical conditions not temporary or reversible in the ED
Medical admission if further medical workup needed for which ED setting is not opti...
Do not assume that patients with violent behavior have only psychiatric problems
Patients who have been restrained require appropriate monitoring, including regular nursing checks a...
Coburn VA, Mycyk MB. Physical and chemical restraints. Emerg Med Clin North Am. 2009;27:655–667.
Lukens TW, Wolf SJ, Edlow JA, et al. Clinical policy: Critical issues in t...
292.89 Other specified drug-induced mental disorders
312.9 Unspecified disturbance of conduct
312.30 Impulse control disorder, unspecified
298.9 Unspecified psychosis
F19.929 Oth psychoacti...
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