Journal of Emergency Nursing
Volume 36, Issue 5 , Pages 450-454 , September 2010

An Evidence-based Clinical Guideline for Initial Management of Behavioral Emergencies

  • Ann White, RN, MSN, CCNS, CEN, CPEN

      Affiliations

    • Corresponding Author InformationFor correspondence, write: Ann White, RN, MSN, CCNS, CEN, CPEN, DUMC Box 3677, Durham, NC 27710

References 

  1. Pitts S, Niska R, Xu J, Burt C. National hospital ambulatory medical care survey: 2006 emergency department summary. Atlanta: Centers for Disease Control and Prevention; 2008;Available at: http://www.cdc.gov/nchs/data/nhsr/nhsr007.pdfAccessed August 8, 2008
  2. McCraig L, Burt C. National hospital ambulatory medical care survey: 2003 emergency department summary. Atlanta: Centers for Disease Control and Prevention; 2005;Available at: http://www.cdc.gov/nchs/data/ad/ad358.pdfAccessed August 12, 2008
  3. White A. Managing behavioral emergencies: striving towards evidence-based practice. J Emerg Nurs. 2010;36:455–459
  4. In:  Rosen P editors. Emergency Medicine: Concepts and Clinical Practice. 6th ed.. St. Louis: Mosby; 2006;
  5. Emergency Nurses Association. Sheehy’s Manual of Emergency Care. 6th ed.. St. Louis: Elsevier Mosby; 2005;
  6. In:  Tintinalli J editors. Emergency Medicine: A Comprehensive Study Guide. 6th ed.. New York: McGraw-Hill; 2003;
  7. Gregory R, Nihalani N, Rodriguez E. Medical screening in the emergency department for psychiatric admissions: a procedural analysis. Gen Hosp Psychiatry. 2004;26:405–410
  8. Hall R, Gardner E, Popkin M, LeCann A, Stickney S. Unrecognized physical illness prompting psychiatric admission: a prospective study. Am J Psychiatry. 1981;138:629–635
  9. Henneman P, Mendoza R, Lewis R. Prospective evaluation of emergency department medical clearance. Ann Emerg Med. 1994;24:672–677
  10. Koran L, Sheline Y, Imai K, et al. Medical disorders among patients admitted to a public-sector psychiatric inpatient unit. Psychiatr Serv. 2002;53:1623–1625
  11. Korn C, Currier G, Henderson S. Medical clearance of psychiatric patients without medical complaints in the emergency department. J Emerg Med. 2000;18:173–176
  12. Olshaker J, Browne B, Jerrard D, Prendergast H, Stair T. Medical clearance and screening of psychiatric patients in the emergency department. Acad Emerg Med. 1997;4:124–128
  13. Sox H, Koran L, Sox C, Marton K, Dugger F, Smith T. A medical algorithm for detecting physical disease in psychiatric patients. Hosp Community Psychiatry. 1989;40:1270–1276
  14. Allen M, Currier G, Carpenter D, Ross R, Docherty J. The expert consensus guideline series: treatment of behavioral emergencies 2005. J Psychiatr Pract. 2005;Nov 1(suppl 1):5-108, 110-2.
  15. Murphy B, Jagoda A, Mickel H, Yealy D American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee). Clinical policy for the initial approach to patients presenting with altered mental status. Ann Emerg Med. 1999;33:251–281
  16. Luken T, Wolf S, Edlow J, et al. American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) Clinical policy: critical issues in the diagnosis and management of the adult psychiatric patient in the emergency department. Ann Emerg Med. 2006;47:79–99
  17. American Psychiatric Association. Practice guidelines for the psychiatric evaluation of adults 2006. 2nd ed.. Available at: http://www.psychiatryonline.com/pracGuide/loadGuidelinePdf.aspx?file=PsychEval2ePG_04-28-06Accessed August 11, 2008
  18. Slade M, Taber D, Clark M, et al. Best practices for the treatment of patients with mental and substance use illnesses in the emergency department. Dis Mon. 2007;53:536–580
  19. Williams E, Shepherd S. Medical clearance of psychiatric patients. Emerg Med Clin North Am. 2000;18:185–198
  20. Karas S. Behavioral emergencies: differentiating medical from psychiatric disease. Emerg Med Pract. 2002;4:1–18
  21. Reeves R, Pendarvis E, Kimble R. Unrecognized medical emergencies admitted to psychiatric units. Am J Emerg Med. 2000;18:390–393
  22. Biddinger P, Isselbacher E, Fan D, Shepard J. Case 5-2005: a 53-year-old man with depression and sudden shortness of breath. N Engl J Med. 2005;352:709–716
  23. Zun L, Leikin J, Stotland N, Blade L, Marks R. A tool for the emergency medicine evaluation of psychiatric patients. Am J Emerg Med. 1996;14:329–333
  24. Piechniczek-Bucek J. Psychiatric emergencies in the elderly population. Emerg Med Clin North Am. 2006;24:467–490
  25. Hart B. ENA: advocating care for psychiatric emergency patients. J Emerg Nurs. 2008;34:359–360

 Earn Up to 9.5 CE Hours. See page 515.

PII: S0099-1767(08)00694-6

doi: 10.1016/j.jen.2008.12.012

Journal of Emergency Nursing
Volume 36, Issue 5 , Pages 450-454 , September 2010

Article Tools

* Image Usage & Resolution