Evidence map›Paper›PMID 41201290›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2026

Management of Agitation in Emergency Medical Services for Older Adults: A Qualitative Exploration.

Fatima I Shah, Grace Lew, Ryan Lee, Krista Reich, Kathryn Crowder, Stephanie VandenBerg, Margaret McGillivray, Ian E Blanchard, Zahra Goodarzi

Abstract read
In one paragraph

Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Management of Agitation in Emergency Medical Services for Older Adults: A Qualitative Exploration.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Fatima I ShahDivision of Geriatrics, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.ORCID 0009-0002-2652-1878
Grace LewDivision of Geriatrics, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Ryan LeeDepartmet of Science and Research, Provincial Programs, Emergency Medical Services, Alberta Health Services, Grande Prairie, Canada.
Krista ReichDivision of Geriatrics, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Kathryn CrowderDepartment of Emergency Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Stephanie VandenBergDepartment of Emergency Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Margaret McGillivrayDepartment of Emergency Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Ian E BlanchardDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Zahra GoodarziDivision of Geriatrics, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.

Funding

CIHR
6 · The paper itself

Abstract

introductionEmergency medical services (EMS) providers are often first responders to agitated older adults, providing critical clinical care and transport. However, significant knowledge gaps persist in our understanding of agitation management for older adults in the prehospital setting.

aimsTo describe the barriers and facilitators to the management of agitation in older adults and the reduction of restraint use by EMS providers.

methodsIn-depth semi-structured qualitative interviews (n = 30) took place with EMS providers employed in Alberta, Canada. The theoretical domains framework (TDF) served as a guiding structure for the development of the interview guide. Framework analysis was used to analyze the qualitative data: a line-by-line thematic analysis was used to identify codes/themes, which were then mapped onto the TDF, and behavior change wheel.

resultsSix major thematic categories were identified. EMS providers reported inadequate training and support, especially for managing agitation in older adult populations. Restraints are used as a safety measure for patient and provider safety, and as a last resort once other agitation management strategies have been exhausted. EMS providers report a complex decision-making matrix of balancing the risks, benefits, and ethical considerations of restraint use, which is often collaborative and integrates EMS protocols. Common barriers to effective agitation management in EMS, as well as non-restraint agitation management techniques are also discussed.

conclusionThe present study is the first in-depth exploration of EMS provider experiences regarding the management of agitation and chemical and physical restraints in older adults.

Indexed as

Emergency Medical ServicesEmergency Medical TechniciansPsychomotor AgitationRestraint, PhysicalAgedAlbertaFemaleHumansInterviews as TopicMaleMiddle AgedQualitative Research

Identifiers

PMID41201290
PMCPMC12875294

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.