Behavoiral Emergencies

Question 1

What are the 7 important parts of the HPI in these patients?

Answer 1

1) situational crisis
2) psychiatric illness / medications
3) Injury to self or threats to others
4) Plan
5) History of suicide attempts
6) substance abuse / overdose
7) Diabetes

Question 2

What are the 10 potential differential diagnoses?

Answer 2

1) Diabetic
2) Hypoxia
3) Stroke
4) Brain trauma
5) alcohol intoxication
6) toxin / substance abuse
7) medication effect / overdose
8) withdrawal syndromes
9) depression
10) bipolar, anxiety, schizophrenia disorders

Question 3

What are the 7 parts of the EMT-B portion of this protocol?

Answer 3

Maintain safe distance, attempt to verbally calm the patient, be alert to warning signs of impending violent outbursts, perform initial assessment, possible restrain, pulse ox w. oxygen, blood glucose.

Question 4

What is the paramedic portion of this protocol?

Answer 4

establish an IV if possible, possible chemical restraint, place on oxygen w/ cardiac monitor and pulse ox.

Question 5

What are the drugs and dosages used for mild to moderate agitation?

Answer 5

Versed 5 mg IV or IM, is the patient remains violent or combative then Geodon 10 mg IM can be administered.

Question 6

What are the drugs and dosages used for extreme agitation and combativeness?

Answer 6

Geodon 20 mg and Versed 5 mg IM