5 Questions
What is the first step in managing a patient with acute anxiety?
Establish safety of staff and patient
What medication may be considered for acute anxiety?
Lorazepam 1 mg SL every 15 min as needed to a max of 4 mg
What should be done if a patient refuses transport?
Call OLMC
When should the Adult Combative Behaviour MCP be referred to?
When the patient is aggressive
What should be done for a patient with acute anxiety after establishing safety?
Search for and treat possible medical causes
Study Notes
Treatment of Aggressive Patient
- Establish safety of staff and patient as the primary concern
- Attempt to verbally diffuse the situation to prevent escalation
- Investigate and treat possible underlying medical causes of the behavior
Pharmacological Intervention
- Consider administering lorazepam 1 mg SL every 15 minutes as needed, up to a maximum of 4 mg, for acute anxiety
- Alternatively, consider midazolam 2.5 mg IV every 15 minutes as needed, up to a maximum of 5 mg
Monitoring and Referral
- Monitor the 4-lead ECG to ensure patient's cardiac stability
- Refer to the Disruptive Behavior Management of Combative Patients (MCP) protocol if the patient requires restraint or is aggressive
- Refer to the Adult Combative Behavior MCP protocol for further guidance
- If the patient refuses transport, it is mandatory to call OLMC for further instruction
This quiz assesses your knowledge on de-escalation techniques for aggressive patients in emergency situations. It covers safety protocols, communication strategies, and medication management.
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