ECare - Chapter 23 (Behavioral and Psychiatric Emergencies and Suicide)

Question 1

acute psychosis

Answer 1

when patient has one or more of hallucinations, delusions, catatonia, or a thought disorder

Question 2

Patient Assessment: Behavioral or Psychiatric Emergency

Answer 2

scene is safe?, identify yourself and role, primary assessment, examination, patient history,

Question 3

Patient Care: Behavioral or Psychiatric Emergency

Answer 3

be alert, treat life-threatening problems, talk to patient, discuss the troubles, don’t lie to patient, involve friends/family if helpful

Question 4

Patient Care: Suicide

Answer 4

secure scene safety, treat life-threatening problems if allowed, secondary assessment, physical exam if there is injury, reassessment,

Question 5

Patient Care: Aggressive Patient

Answer 5

Scene safety, ask medical direction if behavior prevents normal assessment/care procedures, watch for change in behavior as part of assessment, seek help from law enforcement if necessary

Question 6

excited delirium

Answer 6

aggressive behavior, shouting, paranoia, panic, violence, insensitivity to pain, unexpected physical strength, and hyperthermia usually associated with cocaine or amphetamine use

Question 7

positional asphyxia

Answer 7

inadequate breathing or respiratory arrest caused by a body position that restricts breathing