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{
    "pk": 13789,
    "title": "Management of Agitation During the COVID-19 Pandemic",
    "subtitle": null,
    "abstract": "The coronavirus disease 2019 (COVID-19) pandemic caused by the coronavirus SARS-CoV-2 has radically altered delivery of care in emergency settings. Unprecedented hardship due to ongoing fears of exposure and threats to personal safety, along with societal measures enacted to curb disease transmission, have had broad psychosocial impact on patients and healthcare workers alike. These changes can significantly affect diagnosing and managing behavioral emergencies such as agitation in the emergency department. On behalf of the American Association for Emergency Psychiatry, we highlight unique considerations for patients with severe behavioral symptoms and staff members managing symptoms of agitation during COVID-19. Early detection and treatment of agitation, precautions to minimize staff hazards, coordination with security personnel and psychiatric services, and avoidance of coercive strategies that cause respiratory depression will help mitigate heightened risks to safety caused by this outbreak.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "agitation"
        },
        {
            "word": "Behavioral Emergencies"
        },
        {
            "word": "COVID-19"
        }
    ],
    "section": "Behavioral Health",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/12m0r3rp",
    "frozenauthors": [
        {
            "first_name": "Ambrose",
            "middle_name": "H.",
            "last_name": "Wong",
            "name_suffix": "",
            "institution": "Yale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut",
            "department": "None"
        },
        {
            "first_name": "Lynn",
            "middle_name": "P.",
            "last_name": "Roppolo",
            "name_suffix": "",
            "institution": "University of Texas Southwestern, Department of Emergency Medicine, Dallas, Texas",
            "department": "None"
        },
        {
            "first_name": "Bernard",
            "middle_name": "P.",
            "last_name": "Chang",
            "name_suffix": "",
            "institution": "Columbia University, Irving Medical Center, Department of Emergency Medicine, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Kimberly",
            "middle_name": "A.",
            "last_name": "Yonkers",
            "name_suffix": "",
            "institution": "Yale School of Medicine, Department of Psychiatry, Department of Obstetrics, Gynecology, and Reproductive Sciences, New Haven, Connecticut",
            "department": "None"
        },
        {
            "first_name": "Michael",
            "middle_name": "P.",
            "last_name": "Wilson",
            "name_suffix": "",
            "institution": "University of Arkansas for Medical Sciences, Department of Emergency Medicine, Department of Psychiatry, Little Rock, Arkansas",
            "department": "None"
        },
        {
            "first_name": "Seth",
            "middle_name": "",
            "last_name": "Powsner",
            "name_suffix": "",
            "institution": "Yale School of Medicine, Department of Psychiatry, Department of Emergency Medicine New Haven, Connecticut",
            "department": "None"
        },
        {
            "first_name": "John",
            "middle_name": "S.",
            "last_name": "Rozel",
            "name_suffix": "",
            "institution": "University of Pittsburgh School of Law and School of Medicine, Department of Psychiatry, Pittsburgh, Pennsylvania",
            "department": "None"
        }
    ],
    "date_submitted": "2020-04-21T09:16:27+10:00",
    "date_accepted": "2020-04-21T09:16:27+10:00",
    "date_published": "2020-05-23T07:25:22+10:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/13789/galley/7185/download/"
        }
    ]
}