Strategies for optimal management of pediatric acute agitation in emergency settings

Author:

Saidinejad Mohsen1ORCID,Foster Ashley A.2,Santillanes Genevieve3,Li Joyce4,Wallin Dina2,Barata Isabel A.5,Joseph Madeline6,Rose Emily7,Cheng Tabitha1,Waseem Muhammad8,Berg Kathleen9,Hooley Gwendolyn10,Ruttan Timothy911,Shahid Sam12,Lam Samuel H. F.13,Amanullah Siraj14,Lin Sophia15,Heniff Melanie S.16,Brown Kathleen17,Gausche‐Hill Marianne1,

Affiliation:

1. David Geffen School of Medicine at UCLA The Lundquist Institute for Biomedical Innovation at Harbor UCLA Department of Emergency Medicine, Harbor UCLA Medical Center Torrance California USA

2. Department of Emergency Medicine Benioff Children's Hospital University of California San Francisco California USA

3. Department of Pediatrics Los Angeles General Medical Center Keck School of Medicine of University of Southern California Los Angeles California USA

4. Department of Pediatrics Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA

5. Departments of Emergency Medicine and Pediatrics Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Manhasset New York USA

6. Department of Emergency Medicine University of Florida, College of Medicine Jacksonville Florida USA

7. Department of Emergency Medicine Los Angeles General Medical Center Keck School of Medicine of University of Southern California Los Angeles California USA

8. Department of Pediatrics Lincoln Medical Center Bronx New York USA

9. Department of Pediatrics University of Texas at Austin—Dell Medical School Austin Texas USA

10. Department of Emergency Medicine Children's Hospital, Keck School of Medicine at University of Southern California Los Angeles California USA

11. US Acute Care Solutions Canton Ohio USA

12. American College of Emergency Physicians Irving Texas USA

13. Department of Pediatrics Children's Hospital Colorado University of Colorado School of Medicine Aurora Colorado USA

14. Department of Emergency Medicine Brown University School of Medicine Providence Rhode Island USA

15. Department of Emergency Medicine Weill Cornell Medicine New York New York USA

16. Department of Emergency Medicine Indiana University School of Medicine Indianapolis Indiana USA

17. Department of Pediatrics George Washington University School of Medicine Washington District of Columbia USA

Abstract

AbstractAcute agitation in youth is a challenging presentation to the emergency department. In many cases, however, youth can be behaviorally de‐escalated using a combination of environmental modification and verbal de‐escalation. In cases where additional strategies such as pharmacologic de‐escalation or physical restraint are needed, using the least restrictive means possible, including the youth in the decision‐making process, and providing options are important. This paper reviews specific considerations on the approach to a youth with acute agitation and strategies and techniques to successfully de‐escalate agitated youth who pose a danger to themselves and/or others.

Publisher

Wiley

Reference87 articles.

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2. Achieving the Pediatric Mental Health Competencies

3. Children’s Mental Health Emergency Department Visits: 2007–2016

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