TY - CHAP M1 - Book, Section TI - Chapter 194. Physical Restraints A1 - Reichman, Eric F. Y1 - 2013 N1 - T2 - Emergency Medicine Procedures, 2e AB - In recent years, psychiatric emergency services have become a major point of entry into the mental health system and a principal treatment site for many patients with chronic and severe mental illness.1 Emergency Department (ED) patients with altered mental status, emotional and psychological disturbances, head trauma, psychiatric illness, or other medical conditions may be aggressive, physically injurious, or violent.2,3 The aggression may be exhibited toward themselves or toward the healthcare personnel who are caring for them.4 Given the volatile nature of some presenting conditions, physical restraints might be necessary to ensure the safety of the patient and the healthcare personnel. One prospective study found that 0.07% of ED patients were restrained during the 1-year study period.5 Consistent with clinical practice, most patients in this study were restrained for agitation, disruptive behavior, or violent behavior. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/11/13 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=57720102 ER -