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Agitation Podcast Series Episode 1: Differentiating organic versus psychiatric causes of agitation and altered mental status

PEMBlog

Most children who present to Pediatric Emergency Departments these days with mental health concerns – including agitation – have a known psychiatric problem or diagnosis. Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $3M with 0 percent financed with nongovernmental sources.

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EM@3AM: Stercoral Colitis

EMDocs

A) Administration of IV morphine for pain control B) Admission to general surgery for IV antibiotics C) Discharge home on lactulose D) Emergent surgical consultation for exploratory laparotomy E) Manual disimpaction Correct answer: E Although uncommon, stercoral colitis is a potentially life-threatening complication of chronic constipation.

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Agitation Podcast Series Episode 5: Management of the child with mental health problems who is boarded in the ED

PEMBlog

Thousands of children and adolescents spend days at time in Emergency Departments waiting for definitive mental health disposition. Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $3M with 0 percent financed with nongovernmental sources. West J Emerg Med. 2019 Jul 22;20(5):690-695.

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Agitation Treatment in the Emergency Department

ACEP Now

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Emergency departments (EDs) focus on rapid initiation of medical treatment. First, oral administration is preferred, as this route can often be as effective as intramuscular administration.

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Agitation Podcast Series Episode 4: Safe prehospital transport of the agitated child

PEMBlog

Describe the role of medical control in determining destination and goals of safe transport This episode is a co-production of the Emergency Medical Services for Children Innovation and Improvement Center whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum.

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Agitation Podcast Series Episode 3: Pharmacologic management of agitated children

PEMBlog

Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $3M with 0 percent financed with nongovernmental sources. Best Practices for Evaluation and Treatment of Agitated Children and Adolescents (BETA) in the Emergency Department: Consensus Statement of the American Association for Emergency Psychiatry.

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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

1,6 Agitation, delirium, psychosis, and hallucinations can occur and may be incorrectly attributed to concurrent psychiatric illness. Second-generation antipsychotic medications: Pharmacology, administration, and side effects. His roommate found an empty pill bottle on the floor next to him. Innov Clin Neurosci. 2018;15(7-8):20-22.

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