Association of Black Race With Physical and Chemical Restraint Use Among Patients Undergoing Emergency Psychiatric Evaluation

2021 ◽  
Author(s):  
Colin M. Smith ◽  
Nicholas A. Turner ◽  
Nathan M. Thielman ◽  
Damon S. Tweedy ◽  
Joseph Egger ◽  
...  
Keyword(s):  
Psychiatric Evaluation ◽  
Black Race ◽  
Chemical Restraint ◽  
Restraint Use ◽  
Physical And Chemical

scholarly journals Definition and Measurement of Physical and Chemical Restraint in Long-Term Care: A Systematic Review

2021 ◽  
Vol 18 (7) ◽  
pp. 3639
Author(s):  
Lauren M. Robins ◽  
Den-Ching A. Lee ◽  
J Simon Bell ◽  
Velandai Srikanth ◽  
Ralph Möhler ◽  
...  
Keyword(s):  
Systematic Review ◽  
Long Term Care ◽  
Physical Restraint ◽  
Consensus Definition ◽  
Term Care ◽  
Chemical Restraint ◽  
Restraint Use ◽  
Definition Of ◽  
Physical And Chemical

This systematic review aimed to identify thematic elements within definitions of physical and chemical restraint, compare explicit and implicit definitions, and synthesize reliability and validity of studies examining physical and/or chemical restraint use in long-term care. Studies were included that measured prevalence of physical and/or chemical restraint use, or evaluated an intervention to reduce restraint use in long-term care. 86 papers were included in this review, all discussed physical restraint use and 20 also discussed chemical restraint use. Seven themes were generated from definitions including: restraint method, setting resident is restrained in, stated intent, resident capacity to remove/control, caveats and exclusions, duration, frequency or number, and consent and resistance. None of the studies reported validity of measurement approaches. Inter-rater reliability was reported in 27 studies examining physical restraint use, and only one study of chemical restraint. Results were compared to an existing consensus definition of physical restraint, which was found to encompass many of the thematic domains found within explicit definitions. However, studies rarely applied measurement approaches that reflected all of the identified themes of definitions. It is necessary for a consensus definition of chemical restraint to be established and for measurement approaches to reflect the elements of definitions.

Physical and chemical restraint of small macropods

1983 ◽  
Vol 23 (1) ◽  
pp. 215-218 ◽  
Author(s):  
K. C. RICHARDSON ◽  
L. K. CULLEN
Keyword(s):  
Chemical Restraint ◽  
Physical And Chemical

scholarly journals Natural Habitat, Housing, and Restraint of Six Selected Neotropical Animals in Trinidad and Tobago with the Potential for Domestication

Scientifica ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-18
Author(s):  
Kavita Ranjeeta Lall ◽  
Kegan Romelle Jones ◽  
Gary Wayne Garcia
Keyword(s):  
Trinidad And Tobago ◽  
Natural Habitat ◽  
Home Range Size ◽  
Average Density ◽  
Chemical Restraint ◽  
Hydrochoerus Hydrochaeris ◽  
Pecari Tajacu ◽  
Collared Peccary ◽  
Physical And Chemical ◽  
Brocket Deer

This paper highlights the natural habitat, housing, and restraint needs of 6 Neotropical animals that are found in Trinidad and Tobago with the potential for domestication: agouti (Dasyprocta leporina), lappe/paca (Cuniculus paca/Agouti paca), capybara (Hydrochoerus hydrochaeris), manicou/opossum (Didelphis marsupialis insularis), collared peccary (Tayassu tajacu/Pecari tajacu), and red brocket deer (Mazama americana). The year of the earliest reference cited was 1950 and the most recent was 2018, with over 100 references being used. The average density, home range size, social group, and housing requirements were also examined as these factors would play a role in designing enclosures. A number of different physical and chemical restraint techniques were also discussed. Information from other species within the same genus was incorporated as some of the animals did not have sufficient literature.

Physical and Chemical Restraint

2010 ◽  
pp. 1319-1332
Author(s):  
Charles J. Fasano ◽  
Gregory Schneider
Keyword(s):  
Chemical Restraint ◽  
Physical And Chemical

Post-traumatic stress disorder or emergence phenomena? A case of psychomotor agitation after procedural sedation and analgesia

2019 ◽  
Vol 34 (4) ◽  
Author(s):  
Alireza Jalali ◽  
Hamideh Akbari ◽  
Maryam Bahreini
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Past History ◽  
Procedural Sedation ◽  
Post Traumatic Stress ◽  
Psychomotor Agitation ◽  
Chemical Restraint ◽  
Post Traumatic ◽  
Physical And Chemical

Abstract Background Psychomotor agitation can be problematic in an overcrowded emergency department (ED) during uncontrolled procedural sedation. Although emergence phenomena have been studied, various presentations may exist. Case presentation During procedural sedation, a 58-year-old man was sedated with a dissociative dose of ketamine in conjunction with propofol. His shoulder dislocation was reduced successfully but eventually, an exaggerated agitation occurred resembling a post-traumatic stress disorder (PTSD) flashback of past war scenes He was controlled by physical and chemical restraint with an intramuscular injection of 0.1 mg/kg midazolam. After resolution of sedation in rather stable psychiatric conditions, he left the ED with his relatives insisting for discharge against medical advice. Conclusions A PTSD flashback may occur from ketamine sedation in patients with a past history of military experience and can be a manifestation of psychologic adverse effects of ketamine.

scholarly journals Measurement of serum lactate values in domestic cats (Felis catus) submitted to physical and chemical restraint

2017 ◽  
Vol 54 (4) ◽  
pp. 383
Author(s):  
Rafael Henrique De Souza Siragusi ◽  
Valeska Tallia Mendes de Barros ◽  
Emiliana Andrade Fiorini ◽  
Tiago Montalvão Bergamo ◽  
Rafael Cerântola Siqueira ◽  
...  
Keyword(s):  
Serum Lactate ◽  
Felis Catus ◽  
Domestic Cats ◽  
Chemical Restraint ◽  
Physical And Chemical

A utilização do lactato sérico é cada vez mais comum na Medicina Veterinária, por ser um excelente marcador de oxigenação tecidual, elevando-se em situações de hipóxia tecidual e realizando a glicólise anaeróbica como fonte de energia. Pesquisas científicas em cães o apontam como fator prognóstico em diversas afecções, sendo pouco utilizado em felinos domésticos devido ao elevado limiar de estresse da espécie, podendo interferir em seus valores. Assim, este trabalho avaliou os valores de lactato sérico em felinos domésticos durante contenção física e após contenção química, utilizando a associação de 8 mg/kg de cetamina-S, 0,4 mg/kg de midazolam e 2 mg/kg de cloridrato de tramadol. Foram estudados 20 felinos, fêmeas, sem raça definida,  de seis meses a cinco anos de idade, clinicamente saudáveis, divididos em dois grupos, com GPR (n = 10) representado por felinos que passaram apenas por contenção física e com GCR por felinos que passaram por contenção física (TPR) e após 30 horas por contenção química (TCR). Foi observado em ambos os grupos (GPR e GCR) e durante a contenção física a hiperlactatemia sérica (GPR = 6.23 ± 0.9 mmol / L – GCR – TPR = 6.66 ± 1.59 mmol / L) com valores médios de 4,42 ± 1,28 mmol/L durante a contenção química (GCR – TCR). Conclui-se que a contenção física interfere nos valores do lactato sérico, com redução dos valores na utilização da contenção química na espécie felina.

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