EMDocs

JUNE 2, 2023

Podcast: Play in new window | Download (Duration: 19:53 — 27.3MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Pharmacologic Management In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children. Psychiatr Clin North Am. mg/kg/dose (PO/IM/IV) Midazolam – 0.25-0.5

Psychiatric 93

Psychiatric Pediatrics Emergency Department Administration 93

Sensible Medicine

MAY 31, 2023

Sandra had been petitioned and certified for involuntary psychiatric admission when she arrived, which basically means that, if she wants to leave, we can keep her for about a week for emergency stabilization, at which point we can either go to court, or release her. [1] “Nothing is working, and she’s really sick.”

Psychiatric 96

Psychiatric Hospitals Wellness Military 96

Don't Forget the Bubbles

NOVEMBER 29, 2023

Even though sedation after endotracheal intubation (ETI) reduces the risk of self-extubation, uncontrolled pain, and awakening awareness, several small single-centre studies demonstrate low rates of sedative drug administration after ETI in the emergency department (ED). In some cases, patients require psychiatric or psychological attention.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

Sensible Medicine

NOVEMBER 14, 2023

As of 2017, just 15% of patients admitted to residential programs with opioid use disorder received any of the medications approved by the US Food and Drug Administration for treatment opioid use disorder – this despite the fact that those medicines save lives. Practices are improving, but not quickly.

Psychiatric 134

Psychiatric Research CDC Best Practices 134

The Skeptics' Guide to EM

FEBRUARY 26, 2022

Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America. Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America.

Psychiatric 52

Psychiatric Hospitals Academics Research 52

ACEP Now

JULY 7, 2023

Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. First, oral administration is preferred, as this route can often be as effective as intramuscular administration. However, when agitation is due to an underlying psychiatric disorder, SGAs are preferred.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

EMDocs

JUNE 9, 2023

Podcast: Play in new window | Download (Duration: 15:51 — 21.8MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Safe prehospital transport of the agitated child In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children. In today’s episode, we’re taking our show on the road.

EMS 98

EMS Documentation/Coding Pediatrics Psychiatric 98

EMDocs

JULY 20, 2023

Presentation consistent with diagnosis of an acute ischemic stroke, with the patient meeting criteria of: Failing IV t-PA therapy; OR Patient is contraindicated for IV t-PA administration. Pre-existing neurologic or psychiatric disease that would act to confound evaluation pre and post intervention.

Stroke 97

Stroke Outcomes Head Injuries Psychiatric 97

Northwestern EM Blog

MAY 9, 2022

Bromocriptine acts more centrally as a dopamine agonist but should be used cautiously in patients with psychiatric diseases as it may exacerbate psychosis. Delayed Administration and Contraindicated Drugs Place Hospitalized Parkinson’s Disease Patients at Risk. References 1. Institute for Safe Medication Practices. 12 March 2015.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Psychiatric Emergency Department 52

American Medical Compliance

JUNE 17, 2022

An administrative hearing occurred, leading to a settlement agreement. Psychiatric HIPAA Violations. HIPAA Violations in Dental Settings. Three of the violations occurred in dental settings. First, a dentist in Pennsylvania did not provide a patient their medical records when requested.

Psychiatric 52

Psychiatric Administration 52

RebelEM

OCTOBER 5, 2022

mg/dL 10.5 – 12.0 mg/dL 10.5 – 12.0

Dehydration 52

Dehydration Psychiatric Administration EKG/ECG 52

American Medical Compliance

FEBRUARY 29, 2024

It’s important to work with a healthcare provider or a mental health professional to develop a treatment plan that meets your individual needs and medical situation.

Psychiatric 52

Psychiatric Administration Pediatrics Research 52

The Skeptics' Guide to EM

APRIL 29, 2023

Case: You are moonlighting at the Veterans Administration emergency department (ED) and are caring for an Iraq veteran complaining of post-traumatic stress disorder (PTSD) and severe anxiety. You desire a psychiatric consult and learn that you don’t have in-person consult availability at this facility, but instead use telehealth services.

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

PEMBlog

MAY 24, 2023

Marianne Gausche-Hill New England EMSC: New England Regional Behavioral Health Toolkit Disclaimer The Emergency Medical Services for Children Innovation and Improvement Center is supported by the Health Resources and Services Administration (HRSA) of the U.S. We have developed a series of pain focused episodes.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

ACEP Now

JUNE 13, 2024

At that time, emergency physicians helped secure 44 signatories on a congressional “Dear Colleague” letter to the Administration, sounding the alarm onto the boarding crisis and asking them to establish such a task force. And they listened.

Hospitals 52

Hospitals Psychiatric Emergency Department Administration 52

ACEP Now

JANUARY 14, 2024

Patients with psychiatric illness and renal disease should give us pause not only for unexplained presentations but also when ordering and prescribing medications for these patients in the ED. Predicting the risk of drug-drug interactions in psychiatric hospitals: a retrospective longitudinal pharmaco-vigilance study. Acad Emerg Med.

Psychiatric 52

Psychiatric Emergency Department Hospitals EMS 52

EB Medicine

MAY 3, 2019

Jeff: As a quick survey of our audience before we begin, how many of you routinely encounter co-morbid psychiatric conditions in your ED patients, especially depression? Jeff: And how many of you struggle to admit or transfer patients for a formal psychiatric eval? Nachi: That would certainly be all of our listeners!

Emergency Department 40

Emergency Department Psychiatric Documentation/Coding Outcomes 40

The Skeptics' Guide to EM

NOVEMBER 25, 2017

The Food and Drug Administration has only approved metoclopramide for gastroparesis. It is an antipsychotic drug used for a number of psychiatric conditions including schizophrenia. The most common cause of gastroparesis is idiopathic. However, when a cause is known it is often due to diabetes or surgery.

Psychiatric 40

Psychiatric Emergency Department Operations Administration 40

Mind The Bleep

DECEMBER 19, 2023

Especially important is educating children and their carers on sick day rules- proper sick day management at home could reduce the risk of progression to DKA.

Dehydration 98

Dehydration Fluid Resuscitation Shock Resuscitation 98

Mind The Bleep

MAY 12, 2023

History is imperative and a wide range of neurological and psychiatric symptoms can be present. Administration of human albumin solution (HAS) in SBP reduces the incidence of renal failure by 72% and mortality by 47%. Survival after presenting once with HE is 40% at one year and 20% at 3 years.

Fluid Resuscitation 52

Fluid Resuscitation Dehydration Resuscitation Administration 52

EB Medicine

AUGUST 1, 2018

Also, be aware that there are various formulations of cannabis that allow for different routes of administration. Basically, any way you can imagine, it seems like a route of administration has been explored. On the longer end, rectal cannabis administration can take up to 8 hours to reach peak plasma concentrations.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

SheMD

OCTOBER 15, 2023

I am less likely to get promoted as quickly in academic and administrative leadership. Soc Psychiatry Psychiatr Epidemiol 2014;49:791-809. The Inequalities Facing Women in EM When I name these I get really angry. As a woman I earn less than my male equivalent. J Grad Med Educ 2012;4:362-6.

Emergency Department 52

Emergency Department EMS Leadership Academics 52

ACEP Now

AUGUST 1, 2023

It should also differentiate boarding times for psychiatric patients, who are at high risk for very prolonged boarding. FOA-ETA-22-16, DOL Nursing Expansion Grant Program Department of Labor Employment and Training Administration. The admission LOS measure formerly reported only the median time. Accessed July 13, 2023.

Military 98

Military Emergency Department Hospitals Leadership 98

Dr. Smith's ECG Blog

APRIL 8, 2015

Administrative data from an integrated health system of 11 Southern California EDs were used to identify cardiac outcomes after ED presentation for syncope from January 1, 2002, to December 31, 2005. Sixth, psychiatric evaluation can detect mental disorders associated with syncope in up to 25% of cases.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

JUNE 7, 2023

Case Follow-up: The patient required benzodiazepine administration for seizure management and subsequent intubation for airway protection. She required further inpatient psychiatric care and was eventually discharged. The process of organophosphate age and its prevention with pralidoxime.

Poisoning 98

Poisoning Airway Management Seizures PPE 98

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., opiates or anticholinergics): Use initial nomogram and treat if initial level is above the treatment line.

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

Don't Forget the Bubbles

JANUARY 1, 2024

The study suggests the importance of increased screening, safety planning, and early interventions for children with PO-MDD to address the risk of future psychiatric morbidity and mortality. Late surfactant administration after 48 hours of age in preterm neonates with respiratory insufficiency: a systematic review and meta-analysis.

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

Taming the SRU

JUNE 6, 2023

BROADSTOCK Suicidal Ideation & Behavior with Concomitant Substance-Use Difficult to distinguish suicidal ideation/behavior from primary decompensated psychiatric disease versus substance-induced in the ED Statement of Belief Aka pink slip, 72 hour hold, involuntary civil commitment, etc.

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Maria Yang, MD

DECEMBER 1, 2024

Notwithstanding administrative reforms, Congress should enact legislation that protects life and eliminates provisions in federal housing and welfare benefits policies that discourage work, marriage, and meaningful paths to upward economic mobility. You know what solves these psychological problems better and faster than a psychiatrist?

Psychiatric 40

Psychiatric Domestic Violence Administration Research 40

Maria Yang, MD

DECEMBER 7, 2024

While not routine, I continue to encounter veterans now who are homeless and have significant psychiatric conditions. Im not even talking about formal psychiatric disorders. Never did I nor a colleague treat an Admiral, Commander, or other high-ranking, presumably not poor, officer.) It messes people up. War induces heartache.

Military 40

Military Psychiatric Administration Pediatrics 40

EMDocs

MARCH 6, 2025

link] Diagnosis: DSM-V diagnosis requires 3 : At least 4 weeks of typical dyskinetic movements Development of symptoms following anti-dopaminergic medication administration Classically this would be first- or second-generation antipsychotics but may be expanded to any medication that has a postsynaptic dopamine inhibition, such as metoclopramide.

Psychiatric 74

Psychiatric Emergency Department Administration Wellness 74

Don't Forget the Bubbles

DECEMBER 9, 2024

Consider the following conditions: Low blood sugar Systemic or Cerebral infections Reduced blood flow to the brain Abnormalities in metabolism Disorders of the blood vessels in the brain Psychosis/psychiatric history 2. Duration of drug administration in days e.g. 8 days of midazolam infusion. a planned dose of opioid).

Pediatrics 59

Pediatrics Sepsis Hospitals Administration 59

Maria Yang, MD

DECEMBER 29, 2024

The 15th instance is a footnote at the end of the FTC chapter: The Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) is the authoritative publication of the American Psychiatric Association. Comment: Yes, the DSM-5-TR is an authoritative publication, though it’s not without problems.) Thanks for reading along with me.

Psychiatric 40

Psychiatric Administration Wellness 40