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Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry

INTRODUCTION: Agitation in children and adolescents in the emergency department (ED) can be dangerous and distressing for patients, family and staff. We present consensus guidelines for management of agitation among pediatric patients in the ED, including non-pharmacologic methods and the use of imm...

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Autores principales: Gerson, Ruth, Malas, Nasuh, Feuer, Vera, Silver, Gabrielle H., Prasad, Raghuram, Mroczkowski, Megan M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404720/
https://www.ncbi.nlm.nih.gov/pubmed/30881565
http://dx.doi.org/10.5811/westjem.2019.1.41344
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author Gerson, Ruth
Malas, Nasuh
Feuer, Vera
Silver, Gabrielle H.
Prasad, Raghuram
Mroczkowski, Megan M.
author_facet Gerson, Ruth
Malas, Nasuh
Feuer, Vera
Silver, Gabrielle H.
Prasad, Raghuram
Mroczkowski, Megan M.
author_sort Gerson, Ruth
collection PubMed
description INTRODUCTION: Agitation in children and adolescents in the emergency department (ED) can be dangerous and distressing for patients, family and staff. We present consensus guidelines for management of agitation among pediatric patients in the ED, including non-pharmacologic methods and the use of immediate and as-needed medications. METHODS: Using the Delphi method of consensus, a workgroup comprised of 17 experts in emergency child and adolescent psychiatry and psychopharmacology from the the American Association for Emergency Psychiatry and the American Academy of Child and Adolescent Psychiatry Emergency Child Psychiatry Committee sought to create consensus guidelines for the management of acute agitation in children and adolescents in the ED. RESULTS: Consensus found that there should be a multimodal approach to managing agitation in the ED, and that etiology of agitation should drive choice of treatment. We describe general and specific recommendations for medication use. CONCLUSION: These guidelines describing child and adolescent psychiatry expert consensus for the management of agitation in the ED may be of use to pediatricians and emergency physicians who are without immediate access to psychiatry consultation.
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spelling pubmed-64047202019-03-15 Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry Gerson, Ruth Malas, Nasuh Feuer, Vera Silver, Gabrielle H. Prasad, Raghuram Mroczkowski, Megan M. West J Emerg Med Behavioral Health INTRODUCTION: Agitation in children and adolescents in the emergency department (ED) can be dangerous and distressing for patients, family and staff. We present consensus guidelines for management of agitation among pediatric patients in the ED, including non-pharmacologic methods and the use of immediate and as-needed medications. METHODS: Using the Delphi method of consensus, a workgroup comprised of 17 experts in emergency child and adolescent psychiatry and psychopharmacology from the the American Association for Emergency Psychiatry and the American Academy of Child and Adolescent Psychiatry Emergency Child Psychiatry Committee sought to create consensus guidelines for the management of acute agitation in children and adolescents in the ED. RESULTS: Consensus found that there should be a multimodal approach to managing agitation in the ED, and that etiology of agitation should drive choice of treatment. We describe general and specific recommendations for medication use. CONCLUSION: These guidelines describing child and adolescent psychiatry expert consensus for the management of agitation in the ED may be of use to pediatricians and emergency physicians who are without immediate access to psychiatry consultation. Department of Emergency Medicine, University of California, Irvine School of Medicine 2019-03 2019-02-19 /pmc/articles/PMC6404720/ /pubmed/30881565 http://dx.doi.org/10.5811/westjem.2019.1.41344 Text en Copyright: © 2019 Gerson et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Behavioral Health
Gerson, Ruth
Malas, Nasuh
Feuer, Vera
Silver, Gabrielle H.
Prasad, Raghuram
Mroczkowski, Megan M.
Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry
title Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry
title_full Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry
title_fullStr Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry
title_full_unstemmed Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry
title_short Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry
title_sort best practices for evaluation and treatment of agitated children and adolescents (beta) in the emergency department: consensus statement of the american association for emergency psychiatry
topic Behavioral Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404720/
https://www.ncbi.nlm.nih.gov/pubmed/30881565
http://dx.doi.org/10.5811/westjem.2019.1.41344
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