Author/Editor		Eržen-Jakšič, Romana
Title		Prehospitalna obravnava nasilnega bolnika
Translated title		Prehospital treatment of aggressive patient
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 4. Zbornik 5. mednarodni simpozij o urgentni medicini; 1998 jun 17-20; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1998
Volume		str. 277-9
Language		slo
Abstract		The treatment of aggressive psychiatrical patients is becoming increasingly urgent problem for general practitioners. We are going to show on the concrete case the complex and difficult task of giving aid to the aggressive patient in the field. On September 18th, 1997 we were asked by the police to give aid to an aggressive man who was already handcuffed. He was very agitated and logorrhoic. He was abusive and uttered threats to those who were present. On his head there were a suf- fusion and minor fissured wound. We were told that all the injuries were inflicted upon him by himself. Upon lengthy discussion he calmed down to such an extent that the policemen took off the handcuffs and he entered the ambulance of his own free will. We sent him to urgent traumatological clinic. After his injuries were taken care of we sent him to psychiatric examination (diagnosis: heteroaggression). The patient was admitted to closed ward of psychiatric clinic. The next day he was released by a psychiatric council. On the same day the patient arrived at the general emergency medical service and threatened with a lawsuit. On the following days he regularly visited our clinic threatening us with lawsuit, he threatened us over the telephone and after six months he filed a criminal charge against physician who "unnecessarily referred him to the psychiatrist". On the days subsequent to the event the newspapers brought out long articles with detailed description of doctors who send "normal people" to psychiatric clinic. We know that the patient being dangerous to himself and his surroundings is an absolute indication for forced hospitalization. In the field we encounter with agitated and rebellious patients on the one hand and on the other with their surroundings exerting pressure to hospitalize them. (Abstract truncated at 2000 characters)
Descriptors		EMERGENCY MEDICAL SERVICES AGGRESSION COMMITMENT OF MENTALLY ILL