The Code White protocol: a mixed somatic-psychiatric protocol for managing psychomotor agitation in the ED

Details

Ressource 1Download: Saillant, Della Santa, Golay & Amirat (2018).pdf (289.79 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_0FBF41439B0D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The Code White protocol: a mixed somatic-psychiatric protocol for managing psychomotor agitation in the ED
Journal
Archives suissses de neurologie et de psychiatrie / Schweizer Archiv für Neurologie und Psychiatrie / Swiss Archives of Neurology and Psychiatry
Author(s)
Saillant S., Della Santa V., Golay P., Amirat M.
ISSN
0258-7661
Publication state
Published
Issued date
23/05/2018
Peer-reviewed
Oui
Volume
169
Number
4
Pages
121-126
Language
english
Abstract
Objectives: Clinical management of patients presenting with acute psycho­motor agitation is difficult, often because there is no predefined protocol for dealing with it. The main objective of this article is to describe our ­institution’s Code White mixed somatic-psychiatric protocol for managing acute agitation in an emergency department. Its second objective is to ­present data on how long it took to initiate and complete treatment.
Methods: We retrospectively analysed 250 clinical situations over 3 years (2014–2016) from the hospital emergency department in the canton of Neuchâtel, Switzerland.
Results: The median time from emergency department arrival to treatment initiation was 7 minutes; the median duration of treatment was 119 minutes. The rate of hospitalisation after emergency department treatment was 49.2%.
Conclusion: This mixed somatic-psychiatric protocol seemed to reduce both the time before treatment initiation and treatment duration for ­patients presenting with acute psychomotor agitation in an emergency ­department.
Implications for practice: The Code White protocol improved the emergency department’s ability to keep acutely agitated patients flowing smoothly and efficiently through it to other units or to discharge. On the qualitative level, it also improved staff safety and peace of mind, allowing them to carry out their many tasks more calmly.
Keywords
psychomotor agitation, psychiatric emergency, emergency department, collaborative treatment, mixed somatic-psychiatric protocol for treatment of agitation
Open Access
Yes
Create date
08/03/2018 19:47
Last modification date
20/08/2019 12:36
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