Anest. intenziv. Med. 2024;35(4):248-251 | DOI: 10.36290/aim.2024.055

Violent patient after cocaine intoxication in the emergency department - case reportCase Report

Pekara J.^{1, 2}, Jindříšek Z.^{1, 3}, Páv M.⁴

¹ Vysoká škola zdravotnická v Praze, o. p. s.

² Akutní oddělení Psychiatrická nemocnice Bohnice, Praha

³ Oddělení urgentní medicíny, Krajská nemocnice Liberec, a. s.

⁴ Psychiatrická klinika VFN a 1. LF UK, Praha

This case report describes the case of a 25-year-old man following cocaine intoxication in the context of a described diagnosis of schizophrenia during the incident. The patient was found on the street, dominated by delusional production, threatening aggression, and homicide. After the emergency room collections were made, there was boisterous behavior and destruction of property. The patient eventually ended up at the detention center with police assistance, where the violent state subsided after restraint and medication administration. The case report is a good example of emergency room staff working together to manage very agitated patients.

Keywords: intoxication, cocaine, schizophrenia, violence, emergency.

Received: August 14, 2024; Revised: November 30, 2024; Accepted: December 3, 2024; Published: December 17, 2024  Show citation