ABSTRACT
The use of drugs to bring about sedation in an acutely disturbed patient is referred to as "rapid tranquilization" or "RT". The use of an antipsychotic drug when there is evidence of psychosis has the advantage that it amounts to initiating treatment, but it is important to recognize that a single dose is not sufficient and long-term treatment will be necessary. Long-term treatment should include providing appropriate psychosocial care; advising the patient and his family on the need to avoid precipitating factors, particularly drugs such as cannabis, if it is a factor involved; and prescribing appropriate medication to avoid relapses, if the patient is diagnosed with chronic psychosis. Preparation for emergency treatment is a necessary precaution, given that there are occasions when such treatment will be necessary in a mental health service. It is essential that staff should be aware both of the ethical considerations and the medical options for dealing with aggression when it occurs.
