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Choosing Wisely – Investigations for Paediatric Patients presenting with Psychiatric Symptoms

Don't Forget the Bubbles

Do not obtain screening laboratory tests in the medical clearance process of paediatric patients who require inpatient psychiatric admission unless clinically indicated. A 2022 CDC report showed an overall trend of increasing mental health-related ED visits for children and young people aged 0-17 from 2019 to 2022. What is the problem?

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Imported Malaria

Pediatric EM Morsels

Another change is the CDC approved the use of IV artesunate for malaria treatment in the US in May 2022. This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023).

Seizures 281
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“Rehab” for Addiction is a Problem and a Solution

Sensible Medicine

He also co-led the team whose work led the CDC to issue a major clarification of its 2016 opioid prescribing guideline and is currently a principal investigator of the only national study to examine individual suicides that occur after the reduction of prescribed opioids.

Research 132
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Episode 28 - Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach

EB Medicine

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!

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ACEP Launches Pilot Phase of Its Emergency Dept. Accreditation Program

ACEP Now

A June CDC report found that, although medications for opioid use disorder substantially reduce mortality, they are underused. Finally, ACEP’s Pain and Addiction Care in the ED Program (PACED) works to accelerate the transfer of knowledge about acute pain management and secure appropriate resources to care for patients.

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COVID-19 and Mental Health

Northwestern EM Blog

Assessing psychiatric safety in suicidal emergency department patients. National Vital Statistics System, Mortality 1999-2020 on CDC WONDER Online Database, released in 2021. National Vital Statistics System, Provisional Mortality on CDC WONDER Online Database. JAMA Netw Open. 2019;2(12):e1917571. doi:10.1001/jamanetworkopen.2019.17571

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The Latest in Critical Care, 2/26/24 (Issue #31)

PulmCCM

Will there even be a market for these new drugs in the United States, where most people at lower risk for severe Covid now forgo yearly vaccination or testing during illness, and where the CDC has decided to meet Americans where they are by curtailing recommended isolation to (in essence) ‘until you start to feel a little better’?

Stroke 40