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The use of chemical restraint for the acutely agitated adult in the…
The use of chemical restraint for the acutely agitated adult in the emergency department: a literature review
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medications in use include benzodiazepines (midazolam, diazepam, lorazepam) versus psychotics (haloperidol, dreperidol, olanzipine) isbister (393)
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antipsychotics associated with cardiac dysthrymias - prolonger QT inverval, has black box warning in US due to possible side effects of QT prolongation and torsades des pointes(isbister 393) - sugests there is little evidence to support this - including systematic review - thinks that black box warning has unnessessarily given drop a bad name leading to its disuse dispite its many benifits
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length of stay - both significant for patient outcomes - following rules of least restriction adverse to patient
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agitated patients presenting to ED need chemical restraint and sedation for assessment and treatment no matter what the underlying cause