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UK definition (RCEM): It describes the sudden onset of aggressive and violent behaviour and autonomic dysfunction, typically in the setting of acute on chronic drug abuse or serious mental illness.
Australian definition (NSW Health): Behaviour that puts the patient or others at immediate risk of serious harm and may include threatening or aggressive behaviour, extreme distress, and serious self-harm which could cause major injury or death.
There are some superb resources on the Life in the Fast Lane site on this topic. Really recommend having a look!
There is a useful summary on some de-escalation strategies & techniques, from HSI here.
This handbook from a UK NHS Trust outlines some key principles from their conflict resolution training.
JRCALC Clinical Guideline: Acute Behavioural Disturbance.
NICE. NG10. 2015. Violence and aggression: short term management in mental health, health and community settings.
RCEM. Best Practice Guideline. 2016. Guidelines for the Management of Excited Delirium/Acute Behavioural Disturbance.
Faculty of Forensic and Legal Medicine. 2019. Acute behavioural disturbance (ABD): guidelines on management in police custody.
College of Paramedics. Acute Behavioural Disturbance Position Statement
The CQC brief guide to restraint
By Tim Nutbeam and Clare Bosanko4.5
66 ratings
UK definition (RCEM): It describes the sudden onset of aggressive and violent behaviour and autonomic dysfunction, typically in the setting of acute on chronic drug abuse or serious mental illness.
Australian definition (NSW Health): Behaviour that puts the patient or others at immediate risk of serious harm and may include threatening or aggressive behaviour, extreme distress, and serious self-harm which could cause major injury or death.
There are some superb resources on the Life in the Fast Lane site on this topic. Really recommend having a look!
There is a useful summary on some de-escalation strategies & techniques, from HSI here.
This handbook from a UK NHS Trust outlines some key principles from their conflict resolution training.
JRCALC Clinical Guideline: Acute Behavioural Disturbance.
NICE. NG10. 2015. Violence and aggression: short term management in mental health, health and community settings.
RCEM. Best Practice Guideline. 2016. Guidelines for the Management of Excited Delirium/Acute Behavioural Disturbance.
Faculty of Forensic and Legal Medicine. 2019. Acute behavioural disturbance (ABD): guidelines on management in police custody.
College of Paramedics. Acute Behavioural Disturbance Position Statement
The CQC brief guide to restraint

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