Intramuscular Midazolam, Olanzapine, Ziprasidone, or Haloperidol for Treating Acute Agitation in the Emergency Department.

Author: ColeJon B, CollinsJacob D, DriverBrian E, FagerstromErik, HesselMichelle, HortonGabriella B, KleinLauren R, MartelMarc L, MinerJames R, SatpathyRajesh

Paper Details 
Original Abstract of the Article :
STUDY OBJECTIVE: Agitation in the emergency department (ED) can pose a threat to patient and provider safety; therefore, treatment is indicated. The purpose of this study is to compare haloperidol, olanzapine, midazolam, and ziprasidone to treat agitation. METHODS: This was a prospective observatio...See full text at original site
Dr.Camel IconDr.Camel's Paper Summary Blogラクダ博士について

ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。

* ラクダ博士による解説は、あくまで論文の要点をまとめたものであり、原論文の完全な代替となるものではありません。詳細な内容については、必ず原論文をご参照ください。
* ラクダ博士は架空のキャラクターであり、実際の医学研究者や医療従事者とは一切関係がありません。
* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。


引用元:
https://doi.org/10.1016/j.annemergmed.2018.04.027

データ提供:米国国立医学図書館(NLM)

Treating Acute Agitation in the Emergency Department: Navigating the Stormy Desert of Behavioral Emergencies

Agitation in the emergency department (ED), a common and often challenging clinical scenario, is like a desert sandstorm, creating chaos and requiring immediate intervention. This study, like a skilled desert guide, compares the effectiveness of various medications for treating agitation in the ED, seeking to find the most effective and safest approaches.

The researchers conducted a prospective observational study, carefully tracking the response of patients receiving intramuscular medications for agitation. They found that midazolam, like a calming desert oasis, was more effective in achieving sedation at 15 minutes compared to other medications, including haloperidol, ziprasidone, and olanzapine. The study also revealed that olanzapine was more effective than haloperidol in achieving sedation, providing valuable insights for clinicians who are seeking to manage agitated patients in the ED.

Navigating the Desert of Behavioral Emergencies: Finding the Right Path to Calm

This study provides valuable insights into the management of agitation in the ED. The researchers' findings offer a practical roadmap for clinicians, highlighting the relative effectiveness of various medications and emphasizing the need for individualized approaches to treatment. The study underscores the importance of rapid assessment and intervention to ensure the safety of both patients and staff in this challenging environment.

Health and Lifestyle Implications of Agitation Management

Agitation can be a distressing experience, like a desert sandstorm that disrupts mental clarity and physical well-being. This study provides valuable information for healthcare providers who are managing agitated patients, offering evidence-based recommendations for treatment. The research also underscores the importance of timely intervention to prevent escalation of agitation and potential harm to the patient or others.

Dr.Camel's Conclusion

This study offers a valuable roadmap for navigating the stormy desert of behavioral emergencies in the ED. The researchers' findings highlight the importance of rapid assessment and appropriate medication selection to manage agitation effectively. Like a skilled desert guide, clinicians must be prepared to respond swiftly and decisively to these challenges, ensuring the safety and well-being of their patients.

Date :
  1. Date Completed 2019-08-05
  2. Date Revised 2022-03-30
Further Info :

Pubmed ID

29885904

DOI: Digital Object Identifier

10.1016/j.annemergmed.2018.04.027

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

This site uses cookies. Visit our privacy policy page or click the link in any footer for more information and to change your preferences.