Erregungssturm – Entstehung und Notfallbehandlung

Autor:	Patricia Hölzle, Andreas O. Frank, Sophia Hörmann, Hans Förstl, Frank-Gerald Pajonk
Rok vydání:	2021
Předmět:	medicine.medical_specialty Emergency management business.industry Positional asphyxia General Medicine medicine.disease Mental illness Hypoxemia Substance abuse Emergency medicine Medicine Emergency psychiatry Decompensation medicine.symptom business Rhabdomyolysis
Zdroj:	DMW - Deutsche Medizinische Wochenschrift. 146:1421-1426
ISSN:	1439-4413 0012-0472
DOI:	10.1055/a-1533-9764
Popis:	The Excited Delirium Syndrome (ExDS) is a state of maximum psychophysiological excitation far beyond mental agitation. Patients themselves are at an acute risk and put others at a high risk. We present data from eleven patients and a short literature review. Results: 9 of 11 patients were acutely intoxicated (alcohol, magic mushrooms, THC, ecstacy, or "flakka"). Eight had a history of substance abuse and 4 of other mental illness. None of the patients responded to attempts at verbal de-escalation. Seven had significant injuries at the time of admission to the hospital. The aggressive "psychiatric" presentation of ExDS can lead to vital risks being overlooked (hyperexcitation, acidosis, rhabdomyolysis, hypoxemia, and cardiovascular decompensation), which may even be increased by severe methods of restraint (hogtie; positional asphyxia). Early recognition of ExDS and its risks, comprehensive management and the prevention of inappropriate treatment will help to reduce fatal outcomes.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::db2f228aefd7c57ad4e3da2063442a48 https://doi.org/10.1055/a-1533-9764 Zobrazit plný text záznamu