Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-26T02:23:26.840Z Has data issue: false hasContentIssue false

Rapid tranquillisation: practice in Zambia, before and after training

Published online by Cambridge University Press:  02 January 2018

Mahesh Jayaram
Affiliation:
Aire Court, Lingwell Grove, Leeds, UK, email [email protected]
Ranga Rattehalli
Affiliation:
Newsam Centre, Seacroft Hospital, Leeds, UK, email [email protected]
Lindsay Moran
Affiliation:
The Gables Surgery, Leeds, UK, email [email protected]
John Mwanza
Affiliation:
Chainama Hills College Hospital, Lusaka, Zambia, email [email protected]
Paul Banda
Affiliation:
Chainama Hills College Hospital, Lusaka, Zambia, email [email protected]
Clive Adams
Affiliation:
University of Nottingham, Nottingham, UK, email [email protected]
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The evidence base for rapid tranquillisation is small in higher-income countries but is even smaller in sub-Saharan Africa. We initiated the first ever survey on the use of rapid tranquillisation in Zambia in 2009; a further survey was then done in 2010, after a programme of teaching and training. It demonstrated an overall improvement in clinical practice, safety, awareness and use of medications within therapeutic doses. It also led to a reduction in inappropriate use of medications. These improvements in practice occurred within a short time span and with minimal effort. Further international collaborative partnerships are required to build stronger mental health infrastructure in Zambia.

Type
Research Papers
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Royal College of Psychiatrists 2013

References

Alexander, J., Tharyan, P., Adams, C., et al (2004) Rapid tranquillisation of violent or agitated patients in a psychiatric emergency setting. Pragmatic randomised trial of intramuscular lorazepam v. haloperidol plus promethazine. British Journal of Psychiatry, 185, 6369.CrossRefGoogle ScholarPubMed
Andrade, C. (2007) Rapid tranquillisation in emergency psychiatric settings. BMJ, 335, 835836.Google Scholar
Atakan, Z. & Davies, T. (1997) ABC of mental health. Mental health emergencies. BMJ, 314, 17401742.CrossRefGoogle ScholarPubMed
Bourget, D., el-Guebaly, N. & Atkinson, M. (2002) Assessing and managing violent patients. CPA Bulletin de I'APC, 25, 7.Google Scholar
Huf, G., Coutinho, E. S., Fagundes, H. M., et al (2002a) Current practices in managing acutely disturbed patients at three hospitals in Rio de Janeiro, Brazil: a prevalence study. BMC Psychiatry, 2, 4.Google Scholar
Huf, G., Coutinho, E. S. & Adams, C. E. (2002b) TREC-Rio trial: a randomised controlled trial for rapid tranquillisation for agitated patients in emergency psychiatric rooms. BMC Psychiatry, 2, 11.Google Scholar
Medical Research Council (1948) Streptomycin treatment of pulmonary tuberculosis - a Medical Research Council investigation. BMJ, ii, 769–82.Google Scholar
Pilowsky, L S., Ring, H., Shine, P. J., et al (1992) Rapid tranquillisation. A survey of emergency prescribing in a general psychiatric hospital. British Journal of Psychiatry, 160, 831835.CrossRefGoogle Scholar
Sachdev, P. (1996) A critique of ‘organic’ and its proposed alternatives. Australian and New Zealand Journal of Psychiatry, 30, 165170.Google Scholar
Saxena, S., Sharan, P., Garrido, M., et al (2005) World Health Organization's Mental Health Atlas 2005: implications for policy development. World Psychiatry, 5, 179184.Google Scholar
World Health Organization (2006a) Working Together for Health: The World Health Report 2006. WHO.Google Scholar
World Health Organization (2006b) The Selection and Use of Essential Medicines. Report of the WHO Expert Committee (Including the 14th Model List of Essential Medicines), Report No. 0512-3054. WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.