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A Potential Solution to America’s Psychiatric Boarding Crisis

ACEP Now

The emergency department (ED) was frequently overwhelmed by suicidal adolescents who needed inpatient psychiatric treatment but couldn’t be admitted, because the hospital had no free beds. 1 The problem of psychiatric boarding has gotten worse in the years since it began. She began to think, there had to be a better way.

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

PEMBlog

Leyenaar; Pediatric Mental Health Boarding. Pediatrics October 2020; 146 (4): e20201174. Zima; Follow-up After Pediatric Mental Health Emergency Visits. Pediatrics March 2023; 151 (3): e2022057383. Boarding of Mentally Ill Patients in Emergency Departments: American Psychiatric Association Resource Document.

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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. Was the documentation complete?

EMS 98
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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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PEM Currents – Agitation in Children – Episode 2: Non-Pharmacologic Management

EMDocs

Podcast: Play in new window | Download (Duration: 17:49 — 24.5MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Non-Pharmacologic Management In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children. Do we Redirect?

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PEM Currents – Agitation in Children – Episode 5: The Boarded ED Patient

EMDocs

Podcast: Play in new window | Download (Duration: 13:57 — 19.2MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Management of the child with mental health problems who is boarding in the ED In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

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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. Key messages Consider social determinants of health and document these in a child’s clinical notes.