Emergency Psychiatric Protocol in Non-Psychiatric setting

Emergency Psychiatric Protocol in Non-Psychiatric setting

Introduction

Psychiatric emergency is defined as a situation in which the disorder of thought, affection or behavioral disruptions are to an extent that the patient himself, family or society, think that needs immediate attention. There may occur under conditions that:

a. They are manifestations of acute psychological distress (anxiety, panic, depression, adjustment disorders).

b. Involve risk of personal injury or interpersonal (aggression suicide, homicide).

c. They display a profoundly disorganized behavior (psychosis, delirium) (Riba & Ravindranath, 2010).

Discussion

Elements of Psychiatric Emergency

In the approach to psychiatric emergency four elements must be considered:

a) The patient, his clinical picture, which will require careful study, relevant examinations and necessary treatment.

b) The environment surrounding human, should be evaluated for their influence from the action.

c) The physical environment, which must be considered by the physician to identify potential hazards or facilities.

d) The physician who, as an expert, will resolve the emergency. His professional competence and personality will play a decisive role.

Care and Types of Intervention Psychiatric Emergencies

There are, schematically, four types of intervention in the management and treatment of psychiatric emergencies:

a) Intervention verbal communication is paramount. With explicit transactions, the gain is always high and lower risks. Communication should be direct, comprehensive, persuasive and firm.

b) Pharmacological intervention: relating to proper use, safe and judicious use of psychotropic drugs that currently constitute technical resource privilege in treatment. Thus, it is essential to a clear understanding of psychopharmacology (Riba & Ravindranath, 2010).

c. physical Intervention: means restraint by human power or mechanical restraint. It will be necessary in some cases to protect the patient herself or others.

The doctor will command safely avoiding actions personally involved in acts of force; experience shows that when patients are grateful for the having been restored carefully.

d. request help: it must be made ??without delay, when the situation demands, the specialist or entities must intervene in individual cases.

Primary Care Team

1. Initial patient evaluation, moving to the same address if necessary.

2. Containment drug if necessary, following the recommended guide made and general guidelines-psychological containment temperate in the document itself.

If the physician presumes that there will be some difficulty in the assessment ration, therapeutic measures and removal of such person, he may prescribe it to be accompanied by center staff corresponding health with the potential to ensure management of drug addicts. If such action is presumed healthy or found to lead to a condition where the assisted or moved patient causes alterations in public order, endangers the physical integrity of individuals, and the conservation of material goods, the assistance of the Corps and Security forces may be sought immediately without the need for any step by Courts (Zealberg & Santos, 2003). A Primary Care Team will also be available for advice on aspects containment cough pharmacological or therapeutic decision-making. This counseling process must not replace the need for the initial assessment of each case, regardless of whether it is Primary Care Physician or Psychiatrist. Where assistance is not considered urgent or programmed, the reference structure can be used to ...