Behavioral Emergencies Flashcards
What are behavioral emergencies?
Abnormal behavior that threatens an individual’s health and safety or that of others.
List the categories of behavioral emergencies.
- Anxiety disorders
- Mood disorders
- Personality disorders
- Psychotic disorders
- Hostile/violent patients
What types of anxiety disorders are there?
- Acute Stress
- Generalized Anxiety Disorder (GAD)
- PTSD
- Phobias
- Panic
What are the symptoms of Generalized Anxiety Disorder (GAD)?
Persistent, excessive worry lasting >6 months.
What is the treatment for Generalized Anxiety Disorder?
SSRIs or benzodiazepines.
What are the symptoms of PTSD?
- Flashbacks
- Nightmares
- Hyperarousal
- Social withdrawal
What constitutes a panic attack?
Sudden episodes of fear, chest pain, tachycardia, hyperventilation.
How should panic attacks be managed?
- Calm reassurance
- Breathing coaching
- Rule out medical causes
- ALS backup for benzodiazepines if needed
What is the GAS PIPES mnemonic used for?
Symptoms of depression: Guilt, Appetite changes, Sleep disturbance, Lack of Interest, Psychomotor changes, Energy loss, Suicidal thoughts.
What should be assessed in suicidal ideations?
- Intent
- Plan
- History of attempts
What is the definition of mania?
Elevated mood, decreased need for sleep, impulsivity, racing thoughts.
Differentiate between Type 1 and Type 2 Bipolar Disorder.
- Type 1: more mania
- Type 2: more depression
What are the characteristics of psychosis?
Loss of touch with reality, hallucinations, delusions.
What are the symptoms of schizophrenia?
- Disorganized thoughts
- Paranoia
- Auditory hallucinations
What is delusional disorder?
Persistent false beliefs (e.g., persecution, poisoning).
What are the symptoms of excited delirium?
- Hyperthermia
- Violent behavior
- Extreme strength
- Shouting
- Tachycardia
What management strategies are used for excited delirium?
- RCMP involvement
- ALS backup
- Sedation (midazolam, haloperidol, ketamine)
- Cooling measures
- IV fluids
What defines Bulimia Nervosa?
Binge eating followed by purging (vomiting, laxatives, excessive exercise).
What is Anorexia Nervosa?
Severe food restriction leading to dangerous weight loss.
What are the symptoms of ADHD?
- Inattention
- Hyperactivity
- Impulsivity
What is the treatment for ADHD?
Stimulants (e.g., Ritalin).
What are the characteristics of autism?
- Impaired social communication
- Repetitive behaviors
Assess scene safety involves checking for _______.
[weapons, escape routes, backup needed]
What is the recommended approach when dealing with a behavioral emergency?
Calm, clear, and direct manner.
What is the first step in managing a behavioral emergency?
Utilize verbal de-escalation before physical or chemical restraint.
Involve _______ when possible during a behavioral emergency.
[trusted individuals]
