Team what's happening Zach here for med geeks so today we're going to discuss the approach to the agitated patient that walks through the door in the emergency room

Not everybody's favorite patient, but you just have to know how to deal with it because you're going to see it ultimately.

So we'll go over a case, break it down by intro, etiology, clinical presentation, workup

diagnosis, differential, lastly management.

So let us begin.

So you have a 54 year old male with a past medical history of schizophrenia, ETOH abuse,

drug abuse, inhalational crack cocaine, hypertension, hyperlipidemia, and diabetes,

brought in by police for aggressive behavior in public.

The patient was found roaming the main street and yelling and banging on restaurant windows.

Upon police arrival, the patient was awake, alert.

However, he was not calm and not cooperative, ultimately requiring four point restraints by EMS for safety of the patient and others.

So you're unable to get any vital signs given the patient's agitation,

so first you ask yourself why is the patient agitated you can't just say oh the patient

as a history of schizophrenia they're psychotic and and be done the patient requires a full

systematic workup so let us begin so the patient

Let us begin.

So agitated aggressive violent patients present to the emergency room all the time.

They're always welcome. They can't be turned away.

So it's your duty to know how to manage this type of patient, not only

for the patient's sake, but also for yourself and your colleagues around you. So the last thing

you want to do is really leave your shift with an injury so you got to

know how to deal with it. So ideology when you have an agitated patient that comes through

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