Acute Behavioural Disturbance (ABD)
Presented by Mike Southworth
Thursday 9th May 2019 - 8:00PM
Acute behavioural disturbance (ABD), also referred to as excited delirium, is a term used to describe a collection of presenting symptoms and behaviours with a wide range of potential underlying causes. Although exact definitions are debated, what is clear is that ABD patients are those who have extreme levels of delirium and agitation generally requiring restraint along with extremely abnormal physiology. Some of these patients are at risk of cardiac arrest both due to their physiology, and the associated complications of restraint – with coroners citing ABD as a factor in a number of deaths in Police custody. What is clear is that true ABD is a medical emergency which can be difficult to recognise and even more difficult to manage.
Mike Southworth is an Advanced Paramedic with North West Ambulance Service, with particular interests in Human Factors, Critical Care and Resuscitation. More recently developed an interest in the management of Acute Behavioural Disturbance, and working to develop the understanding, recognition and response to it in the North West. Implementing a tool to describe the behaviours of agitated patients is the basis of an MSc Advanced Clinical Practice quality improvement project currently being undertaken and UCLAN and implemented in NWAS.
45 Mins & Q&A
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