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2013, vol. 19, iss. 2, pp. 47-54
Prehospital treatment of acute psyhotic reaction
aJZU Dom zdravlja, Služba hitne medicinske pomoći sa edukativnim centrom, Banja Luka, Republika Srpska
bDom zdravlja Prijedor, Porodična medicina, Prijedor, Republika Srpska
Keywords: acute psychotic reaction; emergency care; treatment
Introduction: Since psychiatric diseases are not lethal (except for a few conditions like delirium), one could draw conclusion that there are not many urgent conditions in psychiatry. But in psychiatric care, as a specific medical discipline, there is always a possibility that patient, due specific psycho-pathological phenomenon act in a way that requires urgent medical interventions. These actions are: a) suicidal attempts, b) aggressive behavior toward other individuals, c) risk for public peace and order, and danger for public or individual property (psychomotor unrest with aggressive manifestations). Objective: To examine the number of patients admitted at the Emergency Department Banja Luka due acute psychotic condition over one year. To analyze their treatment under pre-hospital conditions, and then to examine how many of the patients were referred for further hospital treatment. Methods: Data was collected retrospectively on 183 patients admitted at the Emergency Department Banja Luka from June 26, 2011 to June 26, 2012. The patients' data was collected from a polyclinic protocol and mobile teams' protocols. Results: The total number of patients examined at the Emergency Department over one year was 57.378. Of these, 183 were diagnosed with acute psychosis/acute psychotic reaction (0.32%); 95 were male (51.91%) and 88 female (48.09%). More then 66% of patients of both sexes ware between the ages of 22 to 52. At the Emergency Department parenteral psychopharmacotherapy were applied in 17 male (18.94%) and 16 female (18.18%) patients. Seventy-seven male (81.05%) and 67 female (7613%) patients were referred for further hospital treatment. Conclusion: Certain psychiatric conditions require urgent care, mostly because they can lead to psychic decompensation of personality with a possibility of self-mutilation, or because patients experience these conditions as life-threatening.
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article language: Serbian
document type: Original Paper
published in SCIndeks: 15/01/2014

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