Acute Agitation (Rapid Response Calls)

The approach to the acutely agitated patient in the hospital, including etiologies, strategies for de-escalation, approach to physical restraints, and options for pharmacologic sedation.

[waelfadlallah]

Sir, just wanted to tell you that i've completed my tour on the majority of youtube medical channels just to settle finally in yours (tho i previously watched a fair amount of your EKG's) just to let you know how much your excellent videos mean to me. Your level of expertise is just amazing along side your modesty. I only wish if you can upload at a faster rate and during short intervals as well 😊

[peskyseagull]

Love how they all start like: imagine you’re finally getting to cuddle up to that colleague you’ve been crushing on for months, the one you have the recurring dream about. They’re about to whisper something you’ve longed to hear in your ear, you feel the warmth of their breath, it’s like coming into a heated log cabin amid a blizzard - and you get paged - please review Mr White ASAP, he’s vomited up his entire large colon oh and also his pregnant nurse just passed out from the smell, falling on her abdomen.

But seriously great videos

[Fomites]

Just do what we do here in Australia - taze 'em - but only if they are 42 kilogram females over 95 years with dementia in a walking frame in a nursing home. This happened on May 17, 2023 in a town named Cooma near Canberra. Why the staff called police I will never understand. And why the police tased her is a matter of ongoing community fury. They obviously didn't view your excellent video Eric.

[johnydavilma]

I cannot count how many times nurses have called for agitation. Very common issue in the hospital. Very informative!

[fastmohawk]

every time i come across such a patient, if i could be a word, it would be definitely "FRUSTRATION"
thanks for covering it:)!!!
keep up with the exceptional work💪🏻💪🏻

[lunamoon]

I love your channel I have always loved learning as much as I can about anything medical, I wanted to be a doctor so since we had doctors in the family I would read medical books for fun I started reading them when I was around 10 years old and have always been able to understand what they were teaching but due to how the health care system is set up to keep people sick to make more money off them I can't bring myself to enroll in medical school. Anyways I love how you seem to be very understanding of patients and don't seem to judge them based on their mental health or well-being because sadly a lot of doctors out there see people with mental health problems as a burden and try to keep them drugged while they work on them but depending on what their mental health diagnosis is sedation with the wrong medicine can cause the patient to backtrack on what process they have made or cause a severe interaction with the medicine they are on. Thank you for your wonderful content.😊

[cheetahgoldenfire]

This is explained so well I can only imagine this is similar to medical school or residency instruction!

[yuneed]

very useful. please make more videos of these acute settings

[sunving]

Thank you Dr Strong, wonderful lecture as always. Sundowning is separate category from delirium! Make sense.

[michelenichele]

So well explained and presented, as always. Thank you.🙏👏🏻

[KMx]

I'd like to share an experience where the acute agitation was caused by medical staff not listening. I was in the ER. We didn't know it at the time but i had alpha lipoic acid toxicity in an environment of significant b12 deficiency. My symptoms included EXTREME vertigo that happened when i was moved, whether it was just me moving my own arm, for example, or someone else trying to move me. These movements caused projectile vomiting. I explained to the medical staff that movement triggered the vomiting. They wanted to give me a head CT because i had had some seizure-like activity. I was being moved by 4 to 6 people - they had me in a sling and i was trapped, unable to move and facing up. I was terrified i would vomit and aspirate. I made an effort to communicate my concern but my symptoms escalated, as did my fear of death, so i was screaming at them to stop what they were doing. They did not stop. I was out in the hall, still screaming at them, vertigo was off the charts (involved my eyes darting around uncontrollably) when someone gave me an injection of ativan. They thought they were treating anxiety but they had just given me the best possible treatment for that vertigo. They knew i had vertigo as soon as i arrived and my vomit should have been a clue about the severity. I could have used that ativan a lot sooner. I guess i should be thankful the staff made me fear for my life, otherwise i would not have gotten relief. It was a really messed up situation. If someone says movement triggers their vomiting and you witness that over and over, common sense should tell you don't trap them in a sling facing up. And here's a tip....don't accidentally take too many alpha lipoic acid supplements. It's quite unpleasant. My situation was the result of a family member mixing up a bottle of low dose pills with a bottle of high dose pills.

[henk-]

Very interesting. But like the famous Mike Tyson once said: Everyone has a plan, until you get punched in the mouth ;-)

[jamesmcintyre]

What the h.ll is a a APP?, BTW, I'M NOT IN YOUR TRIBE!