Podcasts about agitated patient

AFR Case Studies Agitated Patient Sedation by Albuquerque Fire Rescue

In the September episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss management of the acutely agitated patient and metabolic acidosis. As always, you'll hear about the hot topics covered in CDEM's regular features, including a feared complication of cystic fibrosis in Clinical Pediatrics, Morel-Lavallée lesions in Critical Cases in Orthopedics and Trauma, phimosis treatment in The Critical Procedure, headache presentations in the emergency department in the LLSA Literature Review, and a cyanotic infant in The Critical Image.

This epsiode reviews the new clinical policy from the American College of Emergency Physicians (ACEP) on medication for acutely agitated patients needing parenteral sedation. Show notes / references: FOAMcast.org Thanks for listening! Lauren Westafer

Hey Clerk Commuters! In this episode, we work through a case for a practical approach to an agitated patient with Dr. Justin Logan, an Emergency Medicine physician at St. Michael's Hospital. We also discuss practical safety points for reducing risk day to day when interacting with patients in the ER. Check us out on Instagram and Facebook for updates about upcoming episodes!The Clerk Commute Podcast | FacebookThe Clerk Commute Podcast

In this episode, we discuss a systematic review and network analysis that compares 11 medications for treating severe agitation in the emergency department. Which medications have been shown to work best?  Faculty: Jim Phelps, M.D.  Host: Richard Seeber, M.D. Learn more about our memberships here Earn 0.5 CMEs: Quick Take Vol. 39 Rapid Tranquilization of the Agitated Patient in the Emergency Department: A Systematic Review and Network Meta-Analysis

Dealing with agitated or combative patients is one of the most challenging aspects of the job. Today we are joined by special guest Dr. Matthew Lippi, an emergency medicine resident at UCSF Fresno, as we discuss situations where physical/chemical restraints might be required for the safety of all involved.  

The agitated patient can be a challenging and dangerous interaction in emergency medicine. The simple fact is that many will end up in the emergency department and physicians/staff must be able to handle these situations. In this episode, we talk to Dr. Sorge from the Emerald Coast Conference about managing agitated patient.

The Approach to the Agitated Patient by UC Department of Emergency Medicine

Get our free clinical lab guide: https://www.medgeeks.co/labguide - You have a 54 year old male patient with a past medical history of schizophrenia, ETOH abuse, drug abuse (crack cocaine), hypertension, hyperlipidemia, and diabetes. He was brought in by police for aggressive behavior in public. The patient was roaming the street, yelling and banging on restaurant windows.  Upon police arrival, the patient was awake and alert. However, he wasn't calm or cooperative; ultimately he required restraints by EMS. You're unable to get his vital signs due to his agitation. So, what would you do?  Today, I want to discuss the agitated patient and how we should approach this scenario. - Follow us on Instagram here: https://www.instagram.com/medgeeksinc - Check out our course material here: https://learn.medgeeks.co - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.

In this month’s Critical Decisions in Emergency Medicine podcast, Dr. Danya Khoujah and Dr. Wendy Chang discuss the February 2019 issue. The first lesson in the issue is “Dangerous Creatures – Envenomation” What’s the difference between poisonous and venomous and why do you need to know? Dr. Khoujah and Dr. Chang investigate and discuss best treatment options for the venomous bitten patient. The second lesson in the issue is “Hostile Workplace – Managing the Agitated Patient in the Emergency Department”. Alarmingly, 78% of emergency care providers have experienced at least one violent workplace act in the past 12 months, and 20% describe being physically assaulted by a patient. Learn what you can do to help improve safety for yourself and your patients. If you are interested in subscribing to Critical Decisions in Emergency Medicine or would like a complimentary copy, please visit: https://www.acep.org/cdem/Products/ Dr. Khoujah’s twitter handle, @danyakhoujah Dr. Chang’s twitter handle, @em_ncc

The patient is agitated and combative and a danger to everyone in the ED. What do you give? Haloperidol and lorazepam?  Maybe there are better choices. Join the EMGuideWire crew as they enter the TOXIDome to discuss a better approach to the management of the Agitated Patient.

Today’s question is: How to manage an agitated patient? Here is a summary of this episode: Antipsychotics are the mainstay of treatment; addressing psychotic agitation as well as treating delirium. Haloperidol is best combined with a benzodiazepine, showing both high efficacy and low side effect profile. There are currently no FDA-approved oral regimens for agitation. However, there are orally disintegrating formulations of olanzapine, aripiprazole and risperidone. Asenapine is available in a sublingual formulation which requires more patient cooperation. Benzodiazepines have anxiolytic and sedating effects but can produce behavioral disinhibition and cognitive impairment in patients with dementia. Download a PDF of this interview here Become a premium member of the Psychopharmacology Institute 

Managing acutely agitated patients can cause anxiety in even the most seasoned emergency doctor. These are high risk patients and they are high risk to you and your ED staff. It’s important to understand that agitation or agitated delirium is a cardinal presentation – not a diagnosis. There is pathology lurking beneath - psychiatric, medical, traumatic and toxicological diagnoses driving these patients and we just won’t know which until we can safely calm them down... The post Ep 115 Emergency Management of the Agitated Patient appeared first on Emergency Medicine Cases.

In anticipation of Episode 115 Management of the Agitated Patient, Dr. Reuben Strayer tells the story of the case that got him interested in developing an expertise around management of the agitated patient that includes an important simple pitfall and pearl about physical restraint. It that could prevent a death in your ED... The post BCE 75 Reuben Strayer’s Agitated Patient appeared first on Emergency Medicine Cases.

The agitated patient can be very challenging to evaluate in the ED. This episode of EMGuideWire's Core Concepts will address options to help evaluate these patients while keeping the patient and the staff safe.

BONUS PODCAST! In this bonus podcast from the ACEP Scientific Assembly, Ms. Roberts interviews John Sanfuentes, DO, an emergency physician in the Washington, DC, metropolitan area, about an agitated patient and the pearls and pitfalls of medically managing these patients in the ED. Sometimes, that management just doesn't go as planned. Listen to see how Dr. Sanfuentes handled this case. Watch this space for more bonus podcasts with Rick and Martha.

Ryan Stanton, MD, FACEP talks to Reuben Strayer, MD on dealing with agitated patients in the ED and strategies to implement best practice for patient care in these difficult situations. www.acep.org

Agitation poses a direct threat to the safety of both patient and staff, as well as being an important manifestation of dangerous conditions that require rapid identification and treatment. Management of agitation consists primarily of physical and chemical restraint, and the details of how restraint is carried out–usually based more on tradition than considered plans or thoughtful protocols–directly determine case outcome. In this talk, we’ll discuss the initial approach to agitation, focusing on the appropriate role of physical restraint, as well as best practice technique for physical restraint. We will then deliberate the options for chemical sedation and propose a menu of the safest and most effective agents for a variety of common agitation scenarios. Some of the questions we will address include: What are the most important dangerous conditions that cause–or are caused by–agitation? What are dangerous restraint holds, and how can physical restraint be accomplished in the safest manner? In the initial management of an agitated patient, should chemical restraint be administered by the intravenous or intramuscular route? How do haloperidol and droperidol compare speed in efficacy when used for calming the agitated patient? How should providers manage concerns around prolonging the QT interval when using butyrophenones for sedation? Which benzodiazepine is preferred, as a treatment for agitation? How should neuroleptics and benzodiazepines be used as monotherapy or in combination? In which type of patient should ketamine be used as a sedation agent? How should ketamine be dosed for tranquilization, and what adverse effects should providers be mindful of when using ketamine for this indication? Can ketamine be used in patients with hyperdynamic vital signs? What is the role of crystalloids in managing the agitated patient? Once the agitated patient has been calmed, what are the primary, secondary and tertiary resuscitative maneuvers (diagnostics and therapeutic)?

Agitation poses a direct threat to the safety of both patient and staff, as well as being an important manifestation of dangerous conditions that require rapid identification and treatment. Management of agitation consists primarily of physical and chemical restraint, and the details of how restraint is carried out–usually based more on tradition than considered plans or thoughtful protocols–directly determine case outcome. In this talk, we’ll discuss the initial approach to agitation, focusing on the appropriate role of physical restraint, as well as best practice technique for physical restraint. We will then deliberate the options for chemical sedation and propose a menu of the safest and most effective agents for a variety of common agitation scenarios. Some of the questions we will address include: What are the most important dangerous conditions that cause–or are caused by–agitation? What are dangerous restraint holds, and how can physical restraint be accomplished in the safest manner? In the initial management of an agitated patient, should chemical restraint be administered by the intravenous or intramuscular route? How do haloperidol and droperidol compare speed in efficacy when used for calming the agitated patient? How should providers manage concerns around prolonging the QT interval when using butyrophenones for sedation? Which benzodiazepine is preferred, as a treatment for agitation? How should neuroleptics and benzodiazepines be used as monotherapy or in combination? In which type of patient should ketamine be used as a sedation agent? How should ketamine be dosed for tranquilization, and what adverse effects should providers be mindful of when using ketamine for this indication? Can ketamine be used in patients with hyperdynamic vital signs? What is the role of crystalloids in managing the agitated patient? Once the agitated patient has been calmed, what are the primary, secondary and tertiary resuscitative maneuvers (diagnostics and therapeutic)?

This week we discuss pearls from a talk from Reuben Strayer on sedation of the agitated patient focusing on patient and staff safety. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_56_0_Final_Cut.m4a Download 3 Comments Tags: Agitation, Droperidol, Excited Delirium, Haloperidol, Lorazepam, Midazolam Show Notes

This week we discuss pearls from a talk from Reuben Strayer on sedation of the agitated patient focusing on patient and staff safety. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_56_0_Final_Cut.m4a Download 3 Comments Tags: Agitation, Droperidol, Excited Delirium, Haloperidol, Lorazepam, Midazolam Show Notes

This week we discuss pearls from a talk from Reuben Strayer on sedation of the agitated patient focusing on patient and staff safety. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_56_0_Final_Cut.m4a Download 3 Comments Tags: Agitation, Droperidol, Excited Delirium, Haloperidol, Lorazepam, Midazolam Show Notes

#smaccDUB day 2 Dr. Reuben Strayer - “Disruption, Danger, and Droperidol: Emergency Management of the Agitated Patient."   Dr. Strayer presented a brilliant talk on dealing with the quintessential Emergency Medicine patient - the undifferentiated acutely agitated patient. These patients are high risk and require emergent stabilization and resuscitation. Dr. Haney Mallemat - "The PEA Paradox" The typical way we think about PEA, the "H's and T's," is overly complicated. Further, we are horrendous at pulse palpation (see this for more), and so what we think is PEA may not actually be PEA.  Dr. Mallemat proposed QRS duration as one way to think about PEA, although this has limitations. Dr. Michele Dominico - "How Usual Resuscitative Maneuvers Can Kill Paediatric Cardiac Patients" Interventions we jump to in sick patients - oxygenation, ventilation, vasopressors - these can kill pediatric patients with cardiac pathology. She gave examples of some high yield pearls in these already terrifying patients. EM Literature update by Drs. Ashley Shreves and Ryan Radecki Antibiotics for uncomplicated diverticulitis? May not be necessary Antibiotics for appendicitis? Maybe an option for some, but it may just be delaying an appendectomy. Tamsulosin for ureteral stones? Not necessarily indicated unless there are large (>5mm), distal stones. Interesting and Ridiculous Research Pearls from Drs. Ashley Shreves and Ryan Radecki Perception of dyspnea and pulmonary function tests change with stress - and rollercoaster rides.  Rietveld S, van Beest I. Rollercoaster asthma: when positive emotional stress interferes with dyspnea perception. Behaviour research and therapy. 45(5):977-87. 2007. [pubmed] Cured pork for epistaxis? Possibly. Researchers will try everything, especially if it involves bacon. Humphreys I, Saraiya S, Belenky W, Dworkin J. Nasal packing with strips of cured pork as treatment for uncontrollable epistaxis in a patient with Glanzmann thrombasthenia. The Annals of otology, rhinology, and laryngology. 120(11):732-6. 2011. [pubmed]

Tips and trick to get the agitated patient to chill out

Minh Le Cong (@rfdsdoc), speaks on agitation in the ICU. His punchy talk covers why agitation happens (on both sides) as well as strategies for managing the agitated patient. The potential of ketamine use for agitation and refractory depression is also discussed. This great podcast was recorded from the Bedside Critical Care Conference 2013.