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- Pilar Guerrero and Mark B Mycyk.
- Department of Emergency Medicine, Cook County Health, 1950 West Polk, 7th Floor EM Admin, Chicago, IL 60612, USA.
- Emerg. Med. Clin. North Am. 2020 May 1; 38 (2): 437-451.
AbstractViolent, combative and intoxicated patients are a common problem in the emergency department, and the emergency physician must be prepared to control the situation safely and effectively when a patient begins to exhibit dangerous behavior. This article reviews initial de-escalation techniques to reduce the need for patient restraint. It then details the 2 types of restraints (physical and chemical) and the clear indications for each type. The high-risk nature of utilization of restraints is reviewed, as well as the means by which to ensure patient and staff safety and decrease adverse outcomes.Copyright © 2020 Elsevier Inc. All rights reserved.
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