{"title":"急诊科急性躁动和精神病症状的处理","authors":"N. Moukaddam, Raymond Choi, V. Tucci","doi":"10.2174/2210676609666191015123943","DOIUrl":null,"url":null,"abstract":"\n\nIt is fairly common for adolescents with a presenting\nproblem of acute agitation to present to the Emergency Department. These patients present\nchallenges with respect to both differential diagnosis and management. Furthermore, with\nmany adolescents having extended stays in emergency departments, it is important for ED\nphysicians to have a basic familiarity with diagnosis and treatment.\n\n\n\nIn this paper, we present a primer on the conditions underlying acute agitation and\nreview approaches to management in the emergency department.\n\n\n\nPsychotic disorders, such as schizophrenia, are distinct from other\nconditions presenting with psychotic symptoms, which can range from depression to substance\nuse to non-psychiatric medical conditions. Agitation, a state of excessive verbal and\nphysical activity, can accompany any of these conditions. Unlike the case for adults, practice\nguidelines do not exist, and there is no fully agreed upon expert consensus yet. Emergency\nphysicians should have a working knowledge of antipsychotic medications and need to consider\npharmacological as well as non-pharmacological treatments for optimal management.\n","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Managing Acute Agitation and Psychotic Symptoms in the Emergency Department\",\"authors\":\"N. Moukaddam, Raymond Choi, V. Tucci\",\"doi\":\"10.2174/2210676609666191015123943\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n\\nIt is fairly common for adolescents with a presenting\\nproblem of acute agitation to present to the Emergency Department. These patients present\\nchallenges with respect to both differential diagnosis and management. Furthermore, with\\nmany adolescents having extended stays in emergency departments, it is important for ED\\nphysicians to have a basic familiarity with diagnosis and treatment.\\n\\n\\n\\nIn this paper, we present a primer on the conditions underlying acute agitation and\\nreview approaches to management in the emergency department.\\n\\n\\n\\nPsychotic disorders, such as schizophrenia, are distinct from other\\nconditions presenting with psychotic symptoms, which can range from depression to substance\\nuse to non-psychiatric medical conditions. Agitation, a state of excessive verbal and\\nphysical activity, can accompany any of these conditions. Unlike the case for adults, practice\\nguidelines do not exist, and there is no fully agreed upon expert consensus yet. Emergency\\nphysicians should have a working knowledge of antipsychotic medications and need to consider\\npharmacological as well as non-pharmacological treatments for optimal management.\\n\",\"PeriodicalId\":43326,\"journal\":{\"name\":\"Adolescent Psychiatry\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2020-01-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Adolescent Psychiatry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2174/2210676609666191015123943\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescent Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/2210676609666191015123943","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
Managing Acute Agitation and Psychotic Symptoms in the Emergency Department
It is fairly common for adolescents with a presenting
problem of acute agitation to present to the Emergency Department. These patients present
challenges with respect to both differential diagnosis and management. Furthermore, with
many adolescents having extended stays in emergency departments, it is important for ED
physicians to have a basic familiarity with diagnosis and treatment.
In this paper, we present a primer on the conditions underlying acute agitation and
review approaches to management in the emergency department.
Psychotic disorders, such as schizophrenia, are distinct from other
conditions presenting with psychotic symptoms, which can range from depression to substance
use to non-psychiatric medical conditions. Agitation, a state of excessive verbal and
physical activity, can accompany any of these conditions. Unlike the case for adults, practice
guidelines do not exist, and there is no fully agreed upon expert consensus yet. Emergency
physicians should have a working knowledge of antipsychotic medications and need to consider
pharmacological as well as non-pharmacological treatments for optimal management.
期刊介绍:
Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.