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by Dr Aileen
Parker and Jules
This is a substantial revision of a previous module by Dr Stephen
Pereira, Dr Deepak
Garg and Dr David Branford. The authors
acknowledge their contribution.
Last updated: May 2019
Disturbed or violent behaviour by an
individual in an in-patient psychiatric setting poses a
serious risk to that individual, other patients and staff.
Immediate management of such situations
is necessary to ensure the safety of other patients and staff and
to reduce the patient’s level of distress.
Although non-pharmacological and oral
pharmacological solutions should be attempted first, sometimes
rapid tranquilisation (RT) is required.
(2015) and BAP guidelines define rapid
tranquillisation as 'the use of medication by the parenteral route
if oral medication is not possible or appropriate and urgent
sedation with medication is needed'.
The interventions used should be the minimum
required to calm the patient.
Start the module
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