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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
Abstract
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.
References
Brady, K.T., Killeen, T.K., Brewerton, T., Lucerini, S. (2000) Comorbidity of psychiatric disorders and posttraumatic stress disorder. Journal of clinical psychiatry, 61 Suppl 7: 22-32
Brown, P.J., Recupero, P.R., Stout, R. (1995) PTSD substance abuse comorbidity and treatment utilization. Addictive behaviors, 20(2): 251-4
Holtzheimer, P.E., Nemeroff, C.B. (2006) Advances in the treatment of depression. NeuroRx, 3(1): 42-56
Lapčević, M., Žigić, D., Ivanković, D. (2003) Hitna stanja u radu porodičnog lekara. Beograd: Sekcija opšte medicine Srpskog lekarskog društva, Drugo izmenjeno i dopunjeno izdanje
Lundy, M.S. (1992) Psychosis: Induced PTSD. American Journal of Psychotherapy, 46 (3), str. 485-91
Marić, J.K. (2005) Klinička psihijatrija. Beograd: J. Marić
Njutn, K.R., Khare, R.K. (2007) Urgentna medicina brzi pregled. Beograd: Book/Marso
Pitman, R.K., Sparr, L.F. (1998) PTSD and the law. PTSD Research Quarterly, 9(2): 1-6
Stojaković, M. (2003) Postraumatsko stresni poremećaj. Banja Luka: Univerzitetska knjiga
Yeung, A., Howarth, S., Chan, R., Sonawalla, S., Nierenberg, A.A., Fava, M. (2002) Use of the Chinese version of the Beck Depression Inventory for screening depression in primary care. Journal of nervous and mental disease, 190(2): 94-9
 

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article language: Serbian
document type: Original Paper
published in SCIndeks: 15/01/2014

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