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Sedation and restraint in the ED 

Sedation and restraint in the ED
Chapter:
Sedation and restraint in the ED
Author(s):

Anna Johnson

, and Fleur Cantle

DOI:
10.1093/med/9780199654093.003.0022
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date: 03 December 2020

This chapter provides a discussion of the challenges facing the emergency physician dealing with an agitated patient in the emergency department. The differential diagnosis of a patient with agitation is presented and the challenges differentiating between primary and secondary psychosis highlighted. Section 136 and ‘a place of safety’ are discussed.

It examines the evidence base for three key clinical questions;physical restraint in a patient on a section 136; examination of the different agents used for pharmacological sedation; and the concept of ‘medically clearing’ a patient who is thought to have a primary psychiatric diagnosis.

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