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Methamphetamine-related acute behavioural disturbance — ACEM Fellowship MCQ

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ModeratePsychiatric emergenciesMethamphetamine-related acute behavioural disturbanceACEM Fellowship

A 26-year-old man presents to a Brisbane ED, triage category 1, with severe agitation after methamphetamine use. Temp 38.7 C, HR 148, BP 182/96. He is threatening staff and cannot be verbally redirected; glucose is normal. What is the most appropriate management?

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Correct answer: B — Team-based de-escalation, benzodiazepine sedation and cooling

Severe stimulant agitation with hyperthermia requires coordinated staff safety, sedation, cooling and medical assessment.

Reference: ACEM acute behavioural disturbance guidance; eTG toxicology