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Previous Volume 341:1408-1412 October 28, 1999 Number 18

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Public awareness of the use of restraints in medicine has been greatly heightened by a five-part investigative series on physical restraints in psychiatric hospitals by the Hartford Courant and reaction to it by Connecticut's U.S. senators, Joseph Lieberman and Christopher Dodd.¹ In October 1998 the Courant 's 50-state survey identified 142 patients who had died while in restraints or seclusion in the past decade, and the total number is probably much higher.² The newspaper advocated the need for national standards for the use of restraints, impartial oversight, and accountability "for behavior that is cruel and even criminal."¹ The use of . . . [Full Text of this Article]

Federal Regulations Regarding Restraints

Restraints in the Emergency Department

The Aftermath of Emergency Treatment

The Decision of the Massachusetts Supreme Judicial Court

Would the New Rules Have Helped?

Competent Patients and Restraints

References

Related Letters:

The Use of Physical Restraints in Medical Emergencies
Sklar D. P., Hansen-Flaschen J., Migden D., Janofsky J. S., Shine I., Annas G. J.
Extract | Full Text  
N Engl J Med 2000; 342:742-744, Mar 9, 2000. Correspondence

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• Currier, G. W., Allen, M. H. (2000). Emergency Psychiatry: Physical and Chemical Restraint in the Psychiatric Emergency Service. Psychiatr. Serv. 51: 717-719 [Full Text]  
• Sklar, D. P., Hansen-Flaschen, J., Migden, D., Janofsky, J. S., Shine, I., Annas, G. J. (2000). The Use of Physical Restraints in Medical Emergencies. NEJM 342: 742-744 [Full Text]