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Current practices in managing acutely disturbed patients at three hospitals in Rio de Janeiro-Brazil: a prevalence study

Authors
Publisher
BioMed Central
Publication Date
Source
PMC
Keywords
  • Research Article
Disciplines
  • Biology
  • Medicine
  • Pharmacology

Abstract

1471-244x-2-4.fm ral BioMed CentBMC Psychiatry BMC Psychiatry 2002, 2Research article Current practices in managing acutely disturbed patients at three hospitals in Rio de Janeiro-Brazil: a prevalence study Gisele Huf*1, Evandro da Silva Freire Coutinho2, Hugo M Fagundes Jr3, Edmar S Oliveira4, Jose Ramon RA Lopez5, Marcio Gewandszajder, Andreia da Luz Carvalho, Alexandre Keusen and Clive E Adams6 Address: 1Ministry of Health – Brazil, 2National School of Public Health, Oswaldo Cruz Foundation, Brazil, 3Department of Health, County of Rio de Janeiro, Brazil, 4Psychiatric Centre Pedro II, Rio de Janeiro, Brazil, 5University of Rio de Janeiro, Brazil and 6Cochrane Schizophrenia Group, University of Leeds, UK E-mail: Gisele Huf* - [email protected]; Evandro da Silva Freire Coutinho - [email protected]; Hugo M Fagundes - [email protected]; Edmar S Oliveira - [email protected]; Jose Ramon RA Lopez - [email protected]; Marcio Gewandszajder - [email protected]; Andreia da Luz Carvalho - [email protected]; Alexandre Keusen - [email protected]; Clive E Adams - [email protected] *Corresponding author Abstract Background: The medical management of aggressive and violent behaviour is a critical situation for which there is little evidence. In order to prepare for a randomised trial, due to start in the psychiatric emergency rooms of Rio de Janeiro in 2001, a survey of current practice was necessary. Methods: A seven day survey of pharmacological management of aggressive people with psychosis in the emergency rooms of all four public psychiatric hospitals in Rio de Janeiro, Brazil. Results: In one hospital data were not available. Of the 764 people with psychosis attending these ERs, 74 were given IM medication for rapid tranquillisation (9.7%, 2.1/week/100,000). A haloperidol-promethazine mix (with or without other drugs) was used for the majority of patients (83%). Conclusion: The haloperidol-promethazine mix, given intramuscularly

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