Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review
Background: Psychomotor agitation and aggressive behaviour (AAB) have the potential to occur in any healthcare setting, including those in which Emergency Medical Services (EMS) operate. This scoping review aimed to examine the available literature on physical restraint of patients within the prehos...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-09-01
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| Series: | African Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211419X23000125 |
| _version_ | 1827855633593925632 |
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| author | Jared MCDOWALL Andrew William MAKKINK Kelton JARMAN |
| author_facet | Jared MCDOWALL Andrew William MAKKINK Kelton JARMAN |
| author_sort | Jared MCDOWALL |
| collection | DOAJ |
| description | Background: Psychomotor agitation and aggressive behaviour (AAB) have the potential to occur in any healthcare setting, including those in which Emergency Medical Services (EMS) operate. This scoping review aimed to examine the available literature on physical restraint of patients within the prehospital setting and to identify guidelines and their effectiveness, safety to patients and health care practitioners and strategies relating to physical restraint when used by EMS. Methods: We performed our scoping review using the methodological framework described by Arksey and O'Malley augmented by that of Sucharew and Macaluso. Several steps guided the review process: identification of the research question, eligibility criteria, information sources (CINAHL, Medline, Cochrane and Scopus), search, selection and data collection, ethical approval, collation, summarizing and reporting on the results. Results: The population of interest, in this scoping review was prehospital physically restrained patients, however, there was a reduced research focus on this population in comparison to the larger emergency department. Conclusion: The limitation of informed consent from incapacitated patients may relate to the lack of prospective real-world research from previous and future studies. Future research should focus on patient management, adverse events, practitioner risk, policy, and education within the prehospital setting. |
| first_indexed | 2024-03-12T11:53:44Z |
| format | Article |
| id | doaj.art-6d80d30f49094e0998ade03bd4d68158 |
| institution | Directory Open Access Journal |
| issn | 2211-419X |
| language | English |
| last_indexed | 2024-03-12T11:53:44Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | African Journal of Emergency Medicine |
| spelling | doaj.art-6d80d30f49094e0998ade03bd4d681582023-08-31T05:02:35ZengElsevierAfrican Journal of Emergency Medicine2211-419X2023-09-01133157165Physical restraint within the prehospital Emergency Medical Care Environment: A scoping reviewJared MCDOWALL0Andrew William MAKKINK1Kelton JARMAN2Netcare Education, Faculty of Emergency and Critical Care, Johannesburg, Gauteng, South Africa; Department of Emergency Medical Care, University of Johannesburg, Doornfontein, Gauteng, South Africa; Corresponding author:Department of Emergency Medical Care, University of Johannesburg, Doornfontein, Gauteng, South AfricaDepartment of Emergency Medical Care, University of Johannesburg, Doornfontein, Gauteng, South AfricaBackground: Psychomotor agitation and aggressive behaviour (AAB) have the potential to occur in any healthcare setting, including those in which Emergency Medical Services (EMS) operate. This scoping review aimed to examine the available literature on physical restraint of patients within the prehospital setting and to identify guidelines and their effectiveness, safety to patients and health care practitioners and strategies relating to physical restraint when used by EMS. Methods: We performed our scoping review using the methodological framework described by Arksey and O'Malley augmented by that of Sucharew and Macaluso. Several steps guided the review process: identification of the research question, eligibility criteria, information sources (CINAHL, Medline, Cochrane and Scopus), search, selection and data collection, ethical approval, collation, summarizing and reporting on the results. Results: The population of interest, in this scoping review was prehospital physically restrained patients, however, there was a reduced research focus on this population in comparison to the larger emergency department. Conclusion: The limitation of informed consent from incapacitated patients may relate to the lack of prospective real-world research from previous and future studies. Future research should focus on patient management, adverse events, practitioner risk, policy, and education within the prehospital setting.http://www.sciencedirect.com/science/article/pii/S2211419X23000125Prehospital restraintAggressive patientAggressive patient risk mitigation |
| spellingShingle | Jared MCDOWALL Andrew William MAKKINK Kelton JARMAN Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review African Journal of Emergency Medicine Prehospital restraint Aggressive patient Aggressive patient risk mitigation |
| title | Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review |
| title_full | Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review |
| title_fullStr | Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review |
| title_full_unstemmed | Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review |
| title_short | Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review |
| title_sort | physical restraint within the prehospital emergency medical care environment a scoping review |
| topic | Prehospital restraint Aggressive patient Aggressive patient risk mitigation |
| url | http://www.sciencedirect.com/science/article/pii/S2211419X23000125 |
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