Mini Review
Volume 5 Issue 4 - 2021
The Restless Acute Trauma Patient: A View Point from the Emergency Room of National Hospital Trauma Centre, Abuja, Nigeria
Onyedika G Okoye*
Head of Trauma and Coordinator, National Trauma Centre, National Hospital Abuja, Nigeria
*Corresponding Author: Onyedika G Okoye, Department of Surgery, National Hospital Abuja, Nigeria.
Received: March 09, 2021; Published: March 23, 2021




Abstract

Trauma is the leading cause of death in young adults. The restless acute trauma patient poses a significant challenge to both self and care givers. The patient may be conscious or typically unconscious and may have traumatic brain injury or other injuries. Despite available systematic approach to the care of the injured patient, a deliberate attempt to identify possible causes of restlessness in each patient is a good practice. Simple, focused care tips using ‘restrain guides’ mnemonic has been suggested for easy recall and rapid care of restless patients in the emergency room. Local guidelines adapted from this tip will be useful in specific settings.

Keywords: Restlessness; Acute Trauma; View Point; Emergency Room

References

  1. Brooke MM., et al. “Agitation and restlessness after closed head injury: a prospective study of 100 consecutive admissions”. Archives of Physical Medicine and Rehabilitation 73 (1992): 320-323.
  2. Denny-Brown D. “Disability arising from closed head injury”. The Journal of the American Medical Association 127 (1945): 429-436.
  3. Levin HS and Grossman RG. “Behavioral sequelae of closed head injury: a quantitative study”. Anatomy Ontology 35 (1978): 7.
  4. Yudofsky SC., et al. “The overt aggression scale for the objective rating of verbal and physical aggression”. The American Journal of Psychiatry 143 (1986): 35-39.
  5. Reyes RL., et al. “Traumatic head injury: restlessness and agitation as prognosticators of physical and psy- chologic improvement in patients”. Archives of Physical Medicine and Rehabilitation 62 (1981): 20-23.
  6. American college of surgeons committee on trauma”. Advanced Trauma Life Support (ATLS) student course manual, 10th American College of Surgeons, Chicago (2018).
  7. Corrigan JD and Mysiw WJ. “Agitation following traumatic head injury: equivocal evidence for a discreet stage of cognitive re- covery”. Archives of Physical Medicine and Rehabilitation 69 (1988): 487-492.
  8. Malkmus D., et al. “Rehabilitation of the head injured adult: comprehensive cognitive management”. Downey. CA: Professional Staff Association of Ranch0 Los Amigos Hospital, Inc (1980).
  9. Stuss D. “Traumatic brain injury: relation to executive dysfunction and the frontal lobes”. Current Opinion in Neurology 24 (2011): 584-589.
  10. Nott MT., et al. “Agitation following traumatic brain injury: an Australian sample”. Brain Injury 20 (2006): 1175-1182.
  11. Alderman and Wood RL. “Neurobehavioral approaches to the rehabilitation of challenging behaviour”. NeuroRehabilitation 32 (2013): 761-770.
  12. Levin HS., et al. “Neurobehavioralr e- covery from head injury”. New York: Oxford University Press (1987).
  13. Hoogwout SJ., et al. “Musculoskeletal pain is associated with restless legs syndrome in young adults”. BMC Musculoskeletal Disorders 16 (2015): 294.
  14. Luate J., et al. “Care management of agitation or aggressive crisis in patients with TBI. Systematic review of literature and practice guideline”. Annals of Physical and Rehabilitation Medicine 59 (2016): 58-67.
  15. Lombard LA and Zafonte RD. “Agitation after traumatic brain injury: considerations and treatment options”. American Journal of Physical Medicine and Rehabilitation 84 (2005): 797-812.
  16. Ghosh A and Basu D. “Restless legs syndrome in opioid dependent patients”. Indian Journal of Psychological Medicine 1 (2014): 85-87.
  17. Onyedika G Okoye. “Implementing trauma resuscitation protocol in COVID 19 era: our modifications at the national trauma centre, Abuja, Nigeria”. The Nigerian Journal of Clinical Practice 24 (2021): 138-141.
  18. Mathew L., et al. “Treatment of agitation following traumatic brain injury: a review of the literature”. Neuro Rehabilitation4 (2005): 279-306.
  19. Holmgren AG., et al. “Restraint in a neurosurgical setting: a mixed methods study”. World Neurosurgery 133 (2020): 104-111.
Citation: Onyedika G Okoye. “The Restless Acute Trauma Patient: A View Point from the Emergency Room of National Hospital Trauma Centre, Abuja, Nigeria”. EC Emergency Medicine and Critical Care 5.4 (2021): 78-83.

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