Op-Ed: The next hospital crisis is coming. Let's hope the U.S. is prepared

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Op-Ed: The next hospital crisis is coming. Let's hope the U.S. is prepared
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Op-Ed: The next hospital crisis is coming. Let's hope the U.S. is prepared (via latimesopinion)

Cars are a handy way to travel with people who have dementia. But finding a couple-friendly toilet on the road? That’s another challenge.Older patients, particularly those with dementia, can become very confused and agitated when critically ill. They may sometimes act in ways that risk immediate harm to themselves or others, called a “behavioral emergency” in hospital medicine. Unlike security threats, this conduct typically lacks criminal intent and is caused by serious disease and dementia.

Hospitals already have medical rapid response teams: clinical specialists from multiple fields who are trained to respond together to medical crises, including heart attacks, strokes and lung failures. But shockingly,do not have an emergency protocol to treat behavioral emergencies — whether from psychiatric illness, dementia agitation or medical disorientation — any differently than they would confront security threats.

Yet there are well-researched, patient-centered protocols for handling behavioral emergencies. These approaches are just not prioritized in the United States. As patients become calmer, primary hospital teams begin the second step of investigating the medical reasons contributing to their distress. While security staff still accompany BERT calls, they take a backseat to the clinicians and often don’t interact with patients at all. And because these teams can be formed with existing resources and cross-trained staff, BERTs need not add costs to care.

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