Skip to Main content Skip to Navigation
Master Thesis

Prise en charge des patients agités hors-étiologies psychiatriques : enquête déclarative sur vignettes cliniques auprès des médecins urgentistes de Nouvelle‐Aquitaine en 2018

Abstract : Introduction: agitated patients are a concern on a daily basis for the emergency services. The aim of this work was to study the declared practices of emergency doctors, in the Nouvelle Aquitaine region, coping with agitated patients in two particular situations; acute alcoholic intoxication and elderly patients. Method: a quantitative, observational, descriptive study by means of a computerized questionnaire carried out with the use of clinical vignettes. Results were gathered from May to October 2018. Two cases of acute alcoholic intoxication were observed and two cases concerning elderly patients; one patient suffering from dementia and the other from confusion. Results: we obtained between 162 and 150 responses. Only (26.5%) of doctors reported having access to a protocol in emergency services relating to agitated patients. In patients affected by alcohol, doctors declared that the medications most commonly used were loxapine (intramuscularly) and diazepam (intravenously or orally). In elderly patients, doctors declared more predominant use of haloperidol and oxazepam (orally). Respondents reported using physical restraint principally in association with drug sedation. Conclusion: practical studies, not clinical vignettes, could allow us to further interpret the results and explore the non-clinical determinants of medical care (e.g. practitioner numbers, fatigue levels of healthcare professionals etc).
Document type :
Master Thesis
Complete list of metadatas

Cited literature [91 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-02485026
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, February 19, 2020 - 6:53:22 PM
Last modification on : Thursday, March 5, 2020 - 1:20:48 AM
Long-term archiving on: : Wednesday, May 20, 2020 - 5:27:58 PM

File

Med_generale_2019_Blaiset.pdf
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-02485026, version 1

Collections

Citation

Mathilde Blaiset. Prise en charge des patients agités hors-étiologies psychiatriques : enquête déclarative sur vignettes cliniques auprès des médecins urgentistes de Nouvelle‐Aquitaine en 2018. Médecine humaine et pathologie. 2019. ⟨dumas-02485026⟩

Share

Metrics

Record views

22

Files downloads

19