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A Potential Solution to America’s Psychiatric Boarding Crisis

ACEP Now

Elizabeth Wharff was the director of emergency psychiatry at Boston’s Children’s Hospital in the late 1990s when she became concerned about what was, then, a new problem. They would be the least difficult and disruptive, the least strain on the hospital staff,” Dr. Wharff explained. She began to think, there had to be a better way.

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Can This Patient Leave Against Medical Advice?

ACEP Now

ACEP has summarized these issues in its Code of Ethics: Emergency physicians shall communicate truthfully with patients and secure their informed consent for treatment, unless the urgency of the patients conditions demands an immediate response. National Hospital Ambulatory Medical Care Survey: 2021 Emergency Department Summary Tables.

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PEM Currents – Agitation in Children – Episode 4: Safe prehospital transport

EMDocs

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
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Vermont Violence in the Workplace for Healthcare Employees

American Medical Compliance

Although anyone working at a hospital can be a victim of violence, nurses and aides who have the most direct contact with patients are especially vulnerable. Some higher risk settings include psychiatric units, emergency rooms, geriatric units, and behavioral health units to name a few.

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The Silent Crisis: The impact of paediatric hospital social admissions

Don't Forget the Bubbles

This has coincided with a widespread shortage of specialist placements for children facing behavioural, psychiatric, and child protection challenges, leading to an over-reliance on the placement of these children in hospitals. A paediatric social admission is one where a child is admitted to the hospital but not for a medical reason.

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PEM Currents – Agitation in Children – Episode 3: Pharmacologic Management

EMDocs

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. Document what you gave and why, as well as the impact. mg/kg/dose PO; 0.2-0.3

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A Safety Solution for Emergency Department Staff and Patients

ACEP Now

A study done at the University of Kansas found that approximately 10 percent of the ED volume at a local county hospital was attributed to some type of behavioral emergency and that approximately one in eight ED visits in the U.S The Story in Data Violence experienced in the ED is often due to agitated, confused, or delirious patients.