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The primary goal in officebased primary care is rapid recognition of potential or actual aggression, reduction, of potential for danger, timely triage, and effective disposition of the potentially dangerous patient. Effective management depends on accurate risk assessment, all forms and appearance of threat must be taken seriously and not ignored, not all, however, require emergent action, under reaction to threat can have devastating consequences, and overreaction can lead to frustration and dissatisfaction on the parts of the patient, family, physician and those whose emergent assistance is being demanded

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