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Child Adolesc Psychiatr Clin N Am · Jul 2018
Crisis in the Emergency Department: The Evaluation and Management of Acute Agitation in Children and Adolescents.
- Ruth Gerson, Nasuh Malas, and Megan M Mroczkowski.
- Department of Child and Adolescent Psychiatry, New York University Langone, 462 1st Avenue, New York, NY 10016, USA. Electronic address: Ruth.Gerson@nyumc.org.
- Child Adolesc Psychiatr Clin N Am. 2018 Jul 1; 27 (3): 367-386.
AbstractAcute agitation in children and adolescents in the emergency department carries significant risks to patients and staff and requires skillful management, using both nonpharmacologic and pharmacologic strategies. Effective management of agitation requires understanding and addressing the multifactorial cause of the agitation. Careful observation and multidisciplinary collaboration is important. Medical work-up of agitated patients is also critical. Nonpharmacologic deescalation strategies should be first line for preventing and managing agitation and should continue during and after medication administration. Choice of medication should focus on addressing the cause of the agitation and any underlying psychiatric syndromes.Copyright © 2018 Elsevier Inc. All rights reserved.
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