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Managing Agitation in the ED: Part 2 – Restraints, Medical Approach, and Discharge

In Infographics, Medical Concepts by Victoria ForcinaLeave a Comment

This post is part two of a two-part series.  You may review the previous post here. In the last post, we followed Lucas, a 26 year old male who presented to the ED with bizarre behaviour and aggression.  When we left off, he was becoming increasingly agitated and paranoid despite your best efforts in de-escalating the situation.  He is beginning to yell at staff and refuses to cooperate with any questioning.  Approach to …

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Managing Agitation in the ED: Part 1 – Overview and Deescalation Strategies

In Infographics, Medical Concepts by Victoria ForcinaLeave a Comment

Lucas is a 26 year old male who presents to the ED by his parents for bizarre behaviour and increasing aggression at home. He has a history of IV drug use but is not forthcoming about which drugs he has used and how recently he has used them. There are two hospital security employees behind him. He is frequently looking behind and around him, and appears dishevelled and unkempt. Lucas appears quite anxious …

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Hyperthermic Conditions in the Psychiatric Patient

In Infographics by Victoria ForcinaLeave a Comment

A 32 year-old female presents to your Emergency Department one afternoon with the presenting complaint of altered level of consciousness.  On examination you find her to be agitated and confused, as well as tachycardic and febrile at 39.5o C.  Collateral history from EMS is negative for any substance misuse.  When reviewing her chart, you find that she has recently been started on Risperidone for her schizoaffective disorder… Fever vs Hyperthermia It is important …