Psychiatry Boot Camp

1.5 Management of Acute Agitation

Mar 6, 2023
Dr. Tony Thrasher, an expert in emergency psychiatry, shares insights from his extensive experience managing agitated patients. He discusses crucial verbal de-escalation techniques and compassionate care practices that improve patient outcomes. Key topics include the importance of understanding agitation as a medical emergency, the complexities of treating patients with substance use disorders, and the delicate balance between autonomy and necessary intervention. Thrasher emphasizes the merging of common sense with medical knowledge to enhance psychiatric care.
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ADVICE

Practice De-escalation

  • De-escalation skills require practice to be effective, just like advanced cardiovascular life support training.
  • Reflect on past experiences where you've de-escalated situations to build a foundation.
INSIGHT

Agitation as an Emergency

  • Agitation is an emergency medical condition, comparable to a heart attack or stroke, and requires immediate attention.
  • Anyone can become agitated, regardless of psychiatric history, making it crucial for all healthcare professionals.
ADVICE

Project Beta Principles

  • Project Beta outlines four principles for managing agitated patients: verbal de-escalation, medical assessment, psychiatric evaluation, and treatment.
  • These steps are not always sequential and can be combined as needed for effective management.
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