Table 2 Results of the Questions 3 to 4

Question 3 - Casuistry: post-traumatic stress disorder, agitation, hyperventilation, no verbal calming possible

EM: Please imagine the following scenario: You are called as an emergency physician to a patient with post-traumatic stress disorder. When you arrive, the patient is agitated, hyperventilating and cannot be calmed down verbally. How do you proceed?

PS: Please imagine the following scenario: An emergency physician visits a patient with known post-traumatic stress disorder. Upon the arrival of the emergency physician, the patient is agitated, hyperventilating, and cannot be calmed verbally. What would you do, based on your psychiatric expertise?

• Talk down technique

90 (92.1%)

95 (91.3%)

0.4434

• Benzodiazepine administration

69 (70.4%)

82 (78.8%)

0.1272

• Hypnotic administration (e.g. propofol)

6 (6.1%)

0 (0.0%)

0.0155

• Antipsychotic administration (e.g. haloperidol)

2 (2.0%)

5 (4.8%)

0.2342

• Involving the police to obtain psychiatric admission

7 (7.1%)

4 (3.8%)

0.3926

• Seek phone contact with the acute psychiatric hospital

83 (84.7%)

55 (52.9%)

0.0107

• Abandoning all further attempts to ensure admission

0 (0.0%)

7 (6.7%)

0.0067

Question 3a - Different options of medication application in the Casuistry/psychiatric emergency

EM and PS: Which type of medication application would you prefer in such a case?

Intra venous

38 (38.8%)

4 (3.8%)

0.0001

Intra osseous

0 (0.0%)

0 (0.0%)

n.e.

Mucosal Atomization Device

36 (36.7%)

11 (10.6%)

0.0006

Intra muscular

5 (5.1%)

9 (8.7%)

0.1624

Oral drug administration

66 (67.3%)

97 (93.3%)

0.0001

None of the options mentioned above

2 (2.0%)

5 (4.8%)

0.1742

Question 4 - Possible items of a treatment protocol for the psychiatric emergency

EM: Imagine the following alternative: In the situation described above, you contact the psychiatrist by telephone. The psychiatrist tells you that a treatment concept for acute situations has been drawn up for the patient. Upon request, the patient’s mother hands over the document to you. As an emergency physician, what information would you like to be included on such a treatment protocol?

PS: Imagine the following alternative: In the situation mentioned above, a treatment protocol for acute

Situations has been prepared for the patient, which the patient’s mother hands over to the emergency physician. As a psychiatrist, what information would you want to communicate to the emergency physician by means of such a treatment protocol?

Possible symptoms of the dissociative seizure

81 (82.7%)

78 (75.0%)

0.9817

The expected duration of the seizure

66 (67.3%)

62 (59.6%)

0.8977

Helpful behavior

91 (92.3%)

100 (96.2%)

0.3043

The point at which medical therapy should be considered

73 (74.5%)

67 (64.4%)

0.7778

The type and dosage of the drug to be used

87 (88.8%)

79 (76.0%)

0.6995

Circumstances under which outpatient care would be possible

86 (87.8%)

69 (66.3%)

0.2318

Conditions for inpatient admission

87 (88.8%)

91 (87.5%)

0.5312

Question cannot be answered

0 (0.0%)

2 (1.9%)

0.1485