《急诊科急性行为障碍管理指南（第3版）》解读

doi:10.3761/j.issn.2096-7446.2026.09.009

Abstract

Abstract:

In May 2025，the Royal College of Emergency Medicine（RCEM） released the Guideline for the Management of Acute Behavioural Disturbance in the Emergency Department（Third Edition），representing the latest evidence-based practice guidance on the management of acute behavioural disturbance（ABD） in the international emergency medicine field. The guideline characterizes ABD as a state of acute psychomotor agitation accompanied by abnormal physiological changes. It covers key aspects including the identification and definition of ABD，safety risk assessment，verbal and environmental de-escalation，selection of sedative agents，resuscitation and monitoring，principles of physical restraint，and management considerations for special populations. This article provides an interpretation of the revision background，core recommendations，and pharmacological options of the guideline，and discusses its applicability within the Chinese clinical environment，aiming to provide a reference for the standardized and safe management of patients with ABD in emergency departments in China.

Key words: Emergency Department, Acute Behavioural Disturbance, Royal College of Emergency Medicine, Guideline, Interpretation

CAO Yulong, GAO Yan, GAN Xiuni. Interpretation of Guidelines for the Management of Acute Behavioural Disturbance in the Emergency Department（3rd Edition）[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(9): 1089-1095.

Figures/Tables 3

References 31

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Interpretation of Guidelines for the Management of Acute Behavioural Disturbance in the Emergency Department（3rd Edition）

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