This article is a report of designing a rapid and effective guide for paramedics who take care of patients in a pre-hospital setting to answer developing demands. The relevant literature was reviewed, and the topics were extracted. Then, the extracted items were discussed in an expert panel. Finally, items were discussed in a meeting including emergency technicians and emergency technical assistants to identify implementation problems. Important topics for managing psychiatric patients were categorized at three levels: 1) Patient safety and security issues, 2) Patient status assessment and diagnosis, and 3) Patient management (medical, behavioral management, and referral to a treatment center). This protocol can be a solution to improve emergency technician training. Such summarized protocols can be used for rapid review immediately before exposing a patient with an acute psychiatric condition. Due to specific cultural and different access to medicines in Iran, some issues are different.

中文翻译：

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精神科急救第一线：伊朗精神障碍院前急救方案

本文是一份报告，旨在为院前护理人员设计快速有效的指南，以满足不断发展的需求。查阅相关文献，提取主题。然后，专家小组对提取的项目进行了讨论。最后，召开应急技术人员、应急技术助理等会议进行讨论，找出实施中存在的问题。管理精神病患者的重要主题分为三个层次：1）患者安全和保障问题，2）患者状态评估和诊断，3）患者管理（医疗、行为管理和转诊至治疗中心）。该协议可以成为改善应急技术人员培训的解决方案。这些总结的方案可用于在接触患有急性精神疾病的患者之前立即进行快速审查。由于伊朗特定的文化和获取药品的方式不同，一些问题也有所不同。