18 Nov 2022
1h 1m

Acute Behavioural Disturbance; Roadside to Resus

Podcast cover

The Resus Room

The podcast addresses acute behavioral disturbance (ABD), clarifying it as a presentation stemming from various underlying issues rather than a specific condition. Key features include delirium, severe agitation, aggressive behavior, and autonomic dysfunction. The discussion emphasizes obtaining thorough histories from bystanders and healthcare providers to differentiate ABD from conditions like drug misuse or psychiatric episodes. Safety for both patients and staff is paramount, achieved through appropriate environments, minimal restraint, and careful selection of sedative agents. The podcast highlights the importance of thorough patient workups, addressing physiological abnormalities, and identifying the underlying causes. It also covers the risks and benefits of rapid sequence intubation (RSI) and stresses the need for comprehensive documentation due to the significant treatment decisions involved.

Outlines

Part 1: Definition, Assessment

Part 2: De-escalation Strategies

Part 3: Restraint, Pharmacological Intervention

Part 4: Post-Care, Advanced Management

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