Acute Behavioural Disturbance; Roadside to Resus
Nov 18, 2022•1 hr 2 min
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Summary
This episode provides a comprehensive guide to Acute Behavioural Disturbance (ABD), a challenging presentation often lacking a clear definition, emphasizing its triad of features and significant mortality risk. It details critical assessment clues, effective de-escalation techniques, and the judicious use of restraint. The discussion further explores rapid tranquilization, comparing agents like ketamine and droperidol, and outlines crucial post-sedation management and documentation, highlighting the importance of a team approach and patient advocacy.Episode description
Acute Behavioural Disturbance (ABD), one of the most challenging, dangerous and serious presentations that we will encounter in emergency management of patients.
There is no widely accepted definition of ABD. Really it's an umbrella term for a patient presenting with a triad of features, secondary to a specific underlying cause, made up of;
- Delirium
- Severe agitation and aggressive behaviour
- Autonomic dysfunction
In this episode we're going to run through ABD, it's causes, the approach and investigation. Excellent management of these cases relies upon high quality team working, planning, communications and strategies to keep all involved safe and we'll be discussing each of those in turn.
Enjoy!
Simon, Rob & James
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